Divine Gifted Hands Home Care LLC.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

DIVINE GIFTED HANDS HOME CARE LLC.

Practice address

1216 E Hunting Park Ave FL 2
Philadelphia, PA 19124-4928

Phone

(267) 686-8429

Fax

(267) 538-3909

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By 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

Jacqueline De Jesus

Title

Administrator

Phone

(267) 333-4682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1649831272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928",
            "telephone_number": "267-686-8429",
            "fax_number": "267-538-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928",
            "telephone_number": "267-686-8429",
            "fax_number": "267-538-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GIFTED HANDS HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-333-4682"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lee Diveterano, CRNP
• Divine Breath Home Care Center
• Divine Comfort Home Health LLC
• Divine Connections Agency LLC
• Divine Connections Home Care Agency (None)
• Divine Hands of Destiny Home Care
• Divine Health Care Services, Inc
• Divine Health Home Care Services,Inc
• Divine Light Inc
• Divine Mercy Home Care, LLC

• Home Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.