Divine Accommodations in-Home Care Services LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE ACCOMMODATIONS IN-HOME CARE SERVICES LLC.

Practice address

2110 W King St # 4B
Cocoa, FL 32926-5100

Phone

(321) 305-6566

Fax

(321) 305-5215

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Jamila R Kelley, CNA

Title

Ceo

Phone

(321) 305-6566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1568054633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 W KING ST # 4B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265100",
            "telephone_number": "321-305-6566",
            "fax_number": "321-305-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W KING ST # 4B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265100",
            "telephone_number": "321-305-6566",
            "fax_number": "321-305-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ACCOMMODATIONS IN-HOME CARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-305-6566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "divineaccommodationsincs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2110 W King St # 4B",
            "city": "Cocoa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329265100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annapurna Sridher Deshpande, BDS, DMD
• Bhavin Ratilal Dhaduk
• Arianna Diaz
• Eduardo Diaz, PSYD
• Spencer Dickens
• Zykira Dixon
• Cassidy Lee Dobbins
• Meridith Dobbins
• Migdalia Dominguez, LICSW
• Srinivas Rao Dontineni, MD

• Home Health Agency in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.