Divine Enterprises, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DIVINE ENTERPRISES, INC.

Doing business as

Emman Elder Care Center

Practice address

1068 Arlington Rd N
Jacksonville, FL 32211-5811

Phone

(904) 586-7611

NPI assigned

Apr 17, 2015

Last updated

Apr 21, 2015By 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

Mrs. Mojisola O Abidogun, RN

Title

Administrator

Phone

(904) 586-7611

Specialties & licenses 1

Addresses

Other names 1

• Emman Elder Care Center Doing business as

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1538556477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 KABROON CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466918",
            "telephone_number": "904-586-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115811",
            "telephone_number": "904-586-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "ABIDOGUN",
        "authorized_official_first_name": "MOJISOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-586-7611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emman Elder Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celeste Eromacys Ditroia, BA, MS, LPC, LMHC
• Kathleen E Ditto, MA OTR
• Gavin Douglas Divertie, MD
• Viky Divertie, ARNP
• Divine Comfort Care
• Divine Healing Homecare LLC
• Divine Healing Homecare LLC
• Divine Homemaker & Companion
• Divine Humanity Homecare LLC.
• Divine Humanity Homecare LLC.

• Adult Day Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.