Divine Healthcare Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

BL07086 Issued in GA

Legal business name

DIVINE HEALTHCARE SUPPLIES, LLC

Practice address

7380 Spout Springs Rd
Suite 190
Flowery Branch, GA 30542-7541

Phone

(770) 967-2193

Fax

(770) 967-2199

NPI assigned

Mar 9, 2007

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Aluma K Oruh

Title

Administrator

Phone

(770) 967-2193

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1487786307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SPOUT SPRINGS RD",
            "address_2": "SUITE 190",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427541",
            "telephone_number": "770-967-2193",
            "fax_number": "770-967-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SPOUT SPRINGS RD",
            "address_2": "SUITE 190",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427541",
            "telephone_number": "770-967-2193",
            "fax_number": "770-967-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTHCARE SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "ORUH",
        "authorized_official_first_name": "ALUMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-967-2193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "BL07086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.