Divine Health Care Corp.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HEALTH CARE CORP.

Practice address

106 B SW 27TH Ave
Miami, FL 33135-1429

Phone

(305) 541-3728

Fax

(305) 541-3729

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Eloina Martinez

Title

President/Owner

Phone

(305) 541-3728

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109107

Legal name

DIVINE HEALTH CARE, CORP.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 23, 2008

Last certification

Sep 11, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 2, 2007 in FL

Enrollment address

106Bsw27Th Ave
Miami, FL 33135-1429

Listed as

Divine Health Care CorpCCN 109107

Ownership

Proprietary

Certified

Dec 23, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1669674305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 B SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351429",
            "telephone_number": "305-541-3728",
            "fax_number": "305-541-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 B SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351429",
            "telephone_number": "305-541-3728",
            "fax_number": "305-541-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ELOINA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-541-3728"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992783",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HHA299992783",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diversified DME & Supply Corp
• Diversified Health Care Associates Corp
• Diversified Home Health Care Center Inc
• Divine Angel Services, Inc
• Divine Angels Services
• Jason R. Divito, D.O.
• Juan Pablo Divo Carrera, SA-C
• Maria Churaman Diwanji, M.D.
• Tejan P Diwanji, MD
• Dixie Community Care Inc

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.