NPIMap

Organization Active NPI

Divine Home Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1588035265
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE HOME CARE LLC
Doing business as
Divine Home Care LLC
Practice address
9258 Bellefontaine Rd
Saint Louis, MO 63137-1744
Phone
(314) 338-4772
Fax
(314) 338-5442
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mrs. Christine Dietz
Title
Owner
Phone
(314) 780-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9258 Bellefontaine Rd
Saint Louis, MO 63137-1744

Mailing address

9258 Bellefontaine Rd
Saint Louis, MO 63137-1744
Phone (314) 338-4772

Other names 1

  • Divine Home Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1588035265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371744",
            "telephone_number": "314-338-4772",
            "fax_number": "314-338-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371744",
            "telephone_number": "314-338-4772",
            "fax_number": "314-338-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-780-8553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.