Divinity Homecare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIVINITY HOMECARE LLC

Practice address

3944 Kentwood CT
Reno, NV 89503-1824

Phone

(775) 384-6812

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Vasquez

Title

Owner/Operator

Phone

(775) 384-6812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1639530843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 KENTWOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031824",
            "telephone_number": "775-384-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 KENTWOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031824",
            "telephone_number": "775-384-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "775-384-6812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Diquarto, BS
• Thomas Peter Diquarto
• Micah Dirden
• Matthew Dittrich, CPO
• Juliette Divina
• Ariell Olivia Dix
• Jessica Brianne Dix, RBT
• Dixon Medical Associates P.C.
• Brian Dixon
• Julia Chrystal Dixon, APRN

• Assisted Living Facility in Reno, NV
• Providers in Reno, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.