Divine-Favor Home Care Agency LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DIVINE-FAVOR HOME CARE AGENCY LLC

Practice address

1437 Hentz Dr
Reynoldsburg, OH 43068-2413

Phone

(614) 446-2318

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By 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

Pascal Lomandjo, DO

Title

Director of Operation

Phone

(614) 446-2318

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1700591161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 HENTZ DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682413",
            "telephone_number": "614-446-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 HENTZ DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682413",
            "telephone_number": "614-446-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE-FAVOR HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "LOMANDJO",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "614-446-2318",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427562735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine & Favor Residential Care Services, LLC
• Divine Community Care Providers, LLC
• Divine Community Healthcare Services, LLC
• Divine Family Dentistry
• Divine Transport Service LLC
• Ayafor Divine
• Mark Dixon
• Dntbs Homecare Services, LLC
• Doctors Family Practice Group
• Melissa Dolin, CDCA

• Case Management Agency in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.