Divine Design Home Care Services LL

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIVINE DESIGN HOME CARE SERVICES LL

Practice address

1572 Ga 85 Suite 510
Fayetteville, GA 30214

Phone

(770) 703-3224

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Lashunda WardNPI 1770020224

Title

Business Owner/Ceo

Phone

(678) 499-2547

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lashunda Ward

  • Licensed Practical Nurse
  • Fairburn, GA
  • NPI 1770020224
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1649957093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 GA 85 SUITE 510",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 GA 85 SUITE 510",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-703-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESIGN HOME CARE SERVICES LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LASHUNDA",
        "authorized_official_title_or_position": "BUSINESS OWNER/CEO",
        "authorized_official_telephone_number": "678-499-2547"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Natalie Dillon
• Jessica Dinkins, NP-C
• Jasmine Dionne
• Kimberly Michelle Diprima, PA-C
• Diversified Personal Home Care
• Felisha Nicole Dixon-Brazier, NP-C
• Andria Dixon, LMT
• Ty-Re Lamont Dixon Sr.
• DME by Preventive Health Care USA LLC
• Doctors Hospice of Georgia, Inc (Doctors Hospice of Georgia Fayetteville)

• Clinical Medical Laboratory in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.