Active NPI
Divine-Point LLC
- In Home Supportive Care Agency
- Dearborn, MI
National Provider Identifier
1629535620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2019
- 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
- Innocent Ndukwe
- Title
- Owner
- Phone
- (586) 422-8486
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8778520 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI 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.