Organization Active NPI

The Divine Mind Healthcare Educational Advanced Learning Site

  • Local Education Agency (LEA)
  • Hallandale Beach, FL
National Provider Identifier
1629795463
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
THE DIVINE MIND HEALTHCARE EDUCATIONAL ADVANCED LEARNING SITE
Practice address
11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone
(954) 603-1896
Fax
(954) 678-2998
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Denise Y Melendez, MBANPI 1780259127
Title
Educator
Phone
(954) 857-8479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

11 Palm Ave
Hallandale Beach, FL 33009-6430

Mailing address

11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone (954) 603-1896

Other names 1

  • The Divine Mind H.E.A.L.S Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1629795463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-603-1896",
            "fax_number": "954-678-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-603-1896",
            "fax_number": "954-678-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVINE MIND HEALTHCARE EDUCATIONAL ADVANCED LEARNING SITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EDUCATOR",
        "authorized_official_telephone_number": "954-857-8479",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DIVINE MIND H.E.A.L.S",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Divine Mind H.E.A.L.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.