Divine Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HOMECARE LLC

Practice address

71 Annapolis St
Tinton Falls, NJ 07712-3175

Phone

(732) 567-7797

Fax

(888) 685-8722

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By 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

Mustak Rahman, MBBS,CPC,CPC-H

Title

Manager

Phone

(732) 567-7797

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosario Conde, ANP

  • Family Nurse Practitioner
  • Tinton Falls, NJ
  • NPI 1730263427
  NPD (past)
• Delfin George C. Ibanez, MD

  • Psychiatry Physician
  • Freehold, NJ
  • NPI 1144292210
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1659779536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ANNAPOLIS ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077123175",
            "telephone_number": "732-567-7797",
            "fax_number": "888-685-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ANNAPOLIS ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077123175",
            "telephone_number": "732-567-7797",
            "fax_number": "888-685-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MUSTAK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-567-7797",
        "authorized_official_credential": "MBBS,CPC,CPC-H"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Delfino
• Shaina Dente, MA, LMFT
• Dermatology Health Center, LLC
• Corinne Desevo, APN
• Zachary Dipasquale, PSYD
• Benjamin Dodson
• Dolan Holdings LLC (New Hope Chiropractic)
• Ryan Dolan, DC
• Donald a. Macdonald, MD
• Douglas T Gibbens MD LLC

• In Home Supportive Care Agency in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.