Divine Path Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE PATH HOME CARE LLC

Practice address

8123 Cresco Ave
Philadelphia, PA 19136-2210

Phone

(484) 929-3331

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By 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

Elsa Montinard

Title

President

Phone

(484) 929-3331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1659958130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 CRESCO AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 CRESCO AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362210",
            "telephone_number": "484-929-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PATH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "MONTINARD",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-929-3331"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Health Care Services, Inc
• Divine Health Home Care Services,Inc
• Divine Light Inc
• Divine Mercy Home Care, LLC
• Divine Nursing Care LLC
• Divine Providence Healthcare, LLC
• Divine Providence Healthcare, LLC
• Divine Providence Village
• Divine Providence Village
• Divine Providence Village

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.