Active NPI
Divine Quality Care,LLC
- Home Health Agency
- Homestead, FL
National Provider Identifier
1487058921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIVINE QUALITY CARE,LLC
- Practice address
- 13920 SW 268TH St
104
Homestead, FL 33032-9206 - Phone
- (786) 286-2650
- NPI assigned
- Oct 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Venishia Jordan
- Title
- Owner
- Phone
- (786) 286-2650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13920 SW 268TH St
104
Homestead, FL 33032-9206
Mailing address
PO Box 343355
Homestead, FL 33034-0355
Phone (786) 286-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010736900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432080000000",
"number": "1487058921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343355",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330340355",
"telephone_number": "786-286-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13920 SW 268TH ST",
"address_2": "104",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330329206",
"telephone_number": "786-286-2650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE QUALITY CARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-13",
"last_updated": "2015-05-20",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "VENISHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-286-2650",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010736900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.