Active NPI
Divine Mercy Tender Loving Care (Dmtlc) LLC
- Home Health Aide
- Queens Village, NY
National Provider Identifier
1508619602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- DIVINE MERCY TENDER LOVING CARE (DMTLC) LLC
- Practice address
- 21451 Jamaica Ave
Queens Village, NY 11428-1733 - Phone
- (347) 894-8949
- Fax
- (347) 894-8949
- NPI assigned
- Apr 9, 2024
- 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
- Dr. Nkem B Chukwumezie
- Title
- Founder, President, Ceo
- Phone
- (412) 860-8445
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
21451 Jamaica Ave
Queens Village, NY 11428-1733
Mailing address
PO Box 200645
South Ozone Park, NY 11420-0645
Phone (347) 894-8949
National Provider Directory
National Provider DirectoryLocations
21451 Jamaica Ave
Queens Village, NY 11428
Phone (347) 894-8949
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": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1508619602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200645",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114200645",
"telephone_number": "347-894-8949",
"fax_number": "347-894-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21451 JAMAICA AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281733",
"telephone_number": "347-894-8949",
"fax_number": "347-894-8949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE MERCY TENDER LOVING CARE (DMTLC) LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "CHUKWUMEZIE",
"authorized_official_first_name": "NKEM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "FOUNDER, PRESIDENT, CEO",
"authorized_official_telephone_number": "412-860-8445",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.