Divine Residential Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE RESIDENTIAL HEALTHCARE INC.

Practice address

5209 York Rd
Baltimore, MD 21212-4225

Phone

(410) 216-3433

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Tunde Ibironke

Title

Owner

Phone

(410) 216-3433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1558056572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "410-216-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RESIDENTIAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "IBIRONKE",
        "authorized_official_first_name": "TUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-216-3433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Mercy, Inc.
• Divine Mercy, Inc.
• Divine Obsidian Consulting, LLC
• Divine Purpose Community Services LLC
• Divine Purpose Community Services LLC
• Divine Shield Care
• Frances Serena Dix, CRNP
• Patricia Dix, CRNP-AC PEDIATRICS
• Tikva Chana Dixler, PA-C
• Adrian Dixon, M.D.

• Home Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.