Organization Active NPI

Divine Choice Home Health Agency

  • Home Health Agency
  • Deland, FL
National Provider Identifier
1649800723
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CHOICE HOME HEALTH AGENCY
Practice address
1229 Bexley CT
Deland, FL 32720-0846
Phone
(386) 215-4299
NPI assigned
Jan 17, 2020
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Fitzroy Coulson
Title
Ceo
Phone
(386) 873-2021

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Adult Companion 372600000X NU
Home Health Aide 374U00000X NU

Addresses

Primary practice location

1229 Bexley CT
Deland, FL 32720-0846

Mailing address

PO Box 1013
Deland, FL 32721-1013
Phone (386) 215-4299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1649800723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327211013",
            "telephone_number": "386-215-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BEXLEY CT",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200846",
            "telephone_number": "386-215-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CHOICE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "COULSON",
        "authorized_official_first_name": "FITZROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-873-2021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.