Organization Active NPI

Divinely Gifted Home Care Services LLC

  • Home Health Agency
  • South Euclid, OH
National Provider Identifier
1508514696
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINELY GIFTED HOME CARE SERVICES LLC
Practice address
4238 Wilmington Rd
South Euclid, OH 44121-3139
Phone
(216) 313-2035
NPI assigned
Mar 16, 2022
Organization subpart
Yes
Parent organization
DIVINELY GIFTED HOME CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Ms. Tisharah Antionette ThomasNPI 1730836453
Title
Ceo
Phone
(216) 313-2035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4238 Wilmington Rd
South Euclid, OH 44121-3139

Mailing address

4238 Wilmington Rd
South Euclid, OH 44121-3139
Phone (216) 313-2035

Other identifiers 1

IdentifierTypeStateIssuer
RY000595MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Sharah@divinelygiftedhomecare.com
Direct Messaging Address Sharah@divinelygiftedhomecare.com
Other URL Sharah@divinelygiftedhomecare.com

National Provider Directory

National Provider Directory
Part of
Divinely Gifted Home Care Services LLC

Interoperability endpoints

  • Direct secure messaging: sharah@divinelygiftedhomecare.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1508514696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 WILMINGTON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213139",
            "telephone_number": "216-313-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WILMINGTON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213139",
            "telephone_number": "216-313-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINELY GIFTED HOME CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINELY GIFTED HOME CARE SERVICES LLC",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TISHARAH",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-313-2035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RY000595",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sharah@divinelygiftedhomecare.com",
            "affiliation": "N",
            "address_1": "4238 Wilmington Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441213139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sharah@divinelygiftedhomecare.com",
            "affiliation": "N",
            "address_1": "4238 Wilmington Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441213139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sharah@divinelygiftedhomecare.com",
            "affiliation": "N",
            "address_1": "4238 Wilmington Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441213139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.