Divine Home Care of Ohio LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME CARE OF OHIO LLC

Practice address

904 N Cable Rd
Lima, OH 45805-1704

Phone

(419) 222-9410

Fax

(419) 222-6175

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Babatunde Onamusi, MD

Title

President

Phone

(419) 222-9410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368156

Legal name

DIVINE HOME CARE OF OHIO LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 28, 2006

Last certification

Jan 11, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

904N Cable Rd
Lima, OH 45805-1704

Listed as

Divine Home Care of Ohio, LLCCCN 368156

Ownership

Proprietary

Certified

Sep 28, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Temitayo I Onamusi, CNP. AGPC

  • Adult Health Nurse Practitioner
  • Lima, OH
  • NPI 1265971394

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temitayo I Onamusi, CNP. AGPC

  • Adult Health Nurse Practitioner
  • Lima, OH
  • NPI 1265971394
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1578628632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051704",
            "telephone_number": "419-222-9410",
            "fax_number": "419-222-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051704",
            "telephone_number": "419-222-9410",
            "fax_number": "419-222-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ONAMUSI",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-222-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joleen Dillon, SPEECH/LANGUAGE PATH
• Korinna Dillon
• Xavier Disabato, DO
• Discover Hope Consulting
• Antonio Diterlizzi
• Jamie L Dixon, CDCA, MBA
• Letese Dixon, RN, BSN
• Hien DO, O.D.
• Lisa DO, PHARMD
• Doctors Pharmacy Lima LLC

• Home Health Agency in Lima, OH
• Providers in Lima, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.