Divine & Care Homeservices LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE & CARE HOMESERVICES LLC

Practice address

1980 Rain Valley CT
Tallahassee, FL 32308-4567

Phone

(850) 270-2728

NPI assigned

Dec 23, 2021

Organization subpart

No

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

Authorized official

Name

Rosetta L Koonce

Title

Owner

Phone

(850) 447-0088

Specialties & licenses 1

Addresses

Tax ID family

Divine Care Homeservices LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine & Care Homeservices LLC

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1558973651
  NPD tax ID

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1558021048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 RAIN VALLEY CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084567",
            "telephone_number": "850-270-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 RAIN VALLEY CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084567",
            "telephone_number": "850-270-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE & CARE HOMESERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-447-0088"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Disc Village, Inc.
• Disc Village, Inc.
• Disc Village, Inc.
• Disc Village, Inc.
• Anna Elizabeth Dittman
• Divine & Care Homeservices LLC
• Divine Healthcare Consulting
• Divine Living Waters Elder Care Services
• Divine Refuge Center, Inc.
• Divine Revelations Ministries, Inc.

• All providers in Tallahassee, FL
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.