Organization Active NPI

Divine-Point LLC

  • In Home Supportive Care Agency
  • Dearborn, MI
National Provider Identifier
1629535620
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE-POINT LLC
Practice address
3200 Greenfield Rd
Dearborn, MI 48120-1802
Phone
(586) 422-8486
Fax
(313) 915-4458
NPI assigned
Feb 26, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Innocent Ndukwe
Title
Owner
Phone
(586) 422-8486

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

3200 Greenfield Rd
Dearborn, MI 48120-1802

Mailing address

3200 Greenfield Rd
Dearborn, MI 48120-1802
Phone (586) 422-8486

Other identifiers 1

IdentifierTypeStateIssuer
8778520MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1629535620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201802",
            "telephone_number": "586-422-8486",
            "fax_number": "313-915-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201802",
            "telephone_number": "586-422-8486",
            "fax_number": "313-915-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE-POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-422-8486"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8778520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.