Divine Sisters Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE SISTERS HEALTHCARE LLC

Practice address

2720 47TH St S Apt 203
Fargo, ND 58104-9156

Phone

(952) 855-6115

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Korlu Barjolo, CNA

Title

Owner

Phone

(562) 488-3801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1629891247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 47TH ST S APT 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049152",
            "telephone_number": "562-488-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 47TH ST S APT 203",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049156",
            "telephone_number": "952-855-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SISTERS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BARJOLO",
        "authorized_official_first_name": "KORLU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-488-3801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Dirk
• Gayle Dirksen, LSW
• Disability Care Direct
• Disease Management and Prevention Dietitians PLLC
• Divine Home Care LLC
• Divine Solutions Healthcare LLC
• Bethany A Dixon, RN
• Amador Montes Dizon, MD
• DMP Enterprises (Any Lab Test Now)
• DMS Imaging Inc

• In Home Supportive Care Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.