Divine Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME CARE SERVICES LLC

Practice address

3307 Ohenry Rd
Brooklyn Center, MN 55429-2226

Phone

(612) 703-2986

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Assata Sheriff

Title

Administrator

Phone

(612) 703-2986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1578032223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 OHENRY RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292226",
            "telephone_number": "612-703-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 OHENRY RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292226",
            "telephone_number": "612-703-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "SHERIFF",
        "authorized_official_first_name": "ASSATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-703-2986"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Dietrich, LPCC, LADC
• Lache Dietz
• Sierra Dimmel
• Divine Hands Home Health Agency Inc
• Divine Healing Home Care, LLC
• Divine Legacy
• Thao DO, DDS
• Dominion Healthcare Services LLC
• Emma Jo Donley
• Kalissa Margaret Dorr

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.