Divine Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

34653601 Issued in PA

Legal business name

DIVINE CARE SERVICES LLC

Practice address

324 Aldan Ave
Aldan, PA 19018-4202

Phone

(215) 858-4135

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By 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

Toochukwu EgbukwuNPI 1518443662

Title

Administrator

Phone

(215) 858-4135

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Toochukwu Onyinye Egbukwu

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1518443662
  NPD (past) Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1659858140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST STE 159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-858-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ALDAN AVE",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184202",
            "telephone_number": "215-858-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "EGBUKWU",
        "authorized_official_first_name": "TOOCHUKWU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-858-4135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "34653601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF PA",
            "identifier": "34653601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronda Conwell-Clark
• Crawford Care Senior Services LLC (Crawford Care Senior Services)
• Robert Davis II
• Joseph K Dayrell Sr.
• Delaware Valley Quality Care (NA)
• Divine Providence Village
• Divine Providence Village
• Orville Harold Domingo, MD
• Dorcas Caregiving Agency LLC
• Dragonfly Emotional Health, LLC

• Home Health Agency in Aldan, PA
• Providers in Aldan, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.