Divine Vision Support Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1000014359 Issued in FL

Legal business name

DIVINE VISION SUPPORT SERVICES, INC.

Practice address

1010 E Adams St
227
Jacksonville, FL 32202-1902

Phone

(904) 396-6745

Fax

(888) 398-0944

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Carrie Lee Garrett

Title

Director

Phone

(904) 398-7645

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1578863817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "227",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32202",
            "telephone_number": "904-396-6745",
            "fax_number": "888-398-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "227",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-396-6745",
            "fax_number": "888-398-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE VISION SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-398-7645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "1000014359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688070398",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688070396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Homemaker & Companion
• Divine Humanity Homecare LLC.
• Divine Humanity Homecare LLC.
• Divine Treasure House
• Divine Trinity Home Care, LLC
• Jonathan Divine, D.O.
• Jennifer Dawn Divita, M.ED
• Guerline Divra
• Alecia G Dixon, ARNP
• Caroline Dixon, MD

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 2, 2010; 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.