Organization Active NPI

Divine Connections Home Care Agency

Doing business as None

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1588106470
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CONNECTIONS HOME CARE AGENCY
Doing business as
None
Practice address
1729 S Cleveland St
Philadelphia, PA 19145-2106
Phone
(302) 437-6622
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mrs. Tyesha N Tilghman-Berry
Title
Owner
Phone
(302) 437-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PA Primary

Addresses

Primary practice location

1729 S Cleveland St
Philadelphia, PA 19145-2106

Mailing address

1729 S Cleveland St
Philadelphia, PA 19145-2106
Phone (302) 437-6622

Other names 1

  • None 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": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1588106470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 S CLEVELAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452106",
            "telephone_number": "302-437-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 S CLEVELAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452106",
            "telephone_number": "302-437-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CONNECTIONS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "TILGHMAN-BERRY",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-437-6622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.