Divine Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

25320840 Issued in MO

Legal business name

DIVINE HEALTHCARE SERVICES LLC

Practice address

12681 Treeyard LN
Saint Louis, MO 63138-1440

Phone

(314) 659-6254

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Bufford

Title

Owner

Phone

(314) 532-2021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1639663719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12681 TREEYARD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381440",
            "telephone_number": "314-659-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12681 TREEYARD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381440",
            "telephone_number": "314-659-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BUFFORD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-532-2021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "25320840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diverse Ventures, LLC
• Diversified Home Care LLC
• Diversified Support Services, LLC
• Divide & Conquer Services, LLC.
• Divine Care Transit LLC
• Divine Home Care LLC
• Divine Home Care Solutions LLC
• Divine Love & Wisdom Home Health Services LLC
• Divine Love Home Healthcare LLC
• Divine Purpose Adult Daycare LLC

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.