Active NPI
Divine Connections Home Care Agency
Doing business as None
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1588106470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Diversified Supportive Services LLC
- Christie Lee Diveterano, CRNP
- Divine Breath Home Care Center
- Divine Comfort Home Health LLC
- Divine Connections Agency LLC
- Divine Gifted Hands Home Care LLC.
- Divine Hands of Destiny Home Care
- Divine Health Care Services, Inc
- Divine Health Home Care Services,Inc
- Divine Light Inc
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.