Divine Angel Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DIVINE ANGEL ADULT DAY CARE INC

Practice address

3443 Hancock Bridge Pkwy Ste 501
North Fort Myers, FL 33903-7007

Phone

(941) 467-2353

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By 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. Yamivia Valdes

Title

President

Phone

(941) 467-2353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1538729355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 NE 17TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095603",
            "telephone_number": "941-467-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 HANCOCK BRIDGE PKWY STE 501",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037007",
            "telephone_number": "941-467-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGEL ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "YAMIVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-467-2353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Debevits, M.A. CCC-SLP FL
• Yenneys Del Valle Jomarron
• Raisa Diaz Guerrero
• Kari Ann Dineen
• Cuong Dinh, PHARMACIST
• Jason Matthew Dodrill, PHARMD
• Sierra Dovico, ARNP
• Gail Anne Doxie, LMHC
• Charlene Anne Drabek, RPH
• Shannon Patricia Duffy

• Adult Day Care Clinic/Center in North Fort Myers, FL
• Providers in North Fort Myers, 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 Jun 14, 2019; 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.