Divine Health Home Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HEALTH HOME CARE AGENCY, INC.

Practice address

9707 Traver St
Mitchellville, MD 20721-1867

Phone

(202) 400-0849

Fax

(866) 405-4896

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Mary Andrews

Title

President

Phone

(202) 400-0849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1730583154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 TRAVER ST",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211867",
            "telephone_number": "202-400-0849",
            "fax_number": "866-405-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 TRAVER ST",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211867",
            "telephone_number": "202-400-0849",
            "fax_number": "866-405-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-400-0849"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Harmon Jr DDS MSD PA
• Kelsi Davis
• Crystal Monique Debeary, RPH
• Robert Lee Dewitty Jr., M.D.
• Andrew Joseph Diorio, DPT
• Khodi Dobson
• Christopher J Doerrer, DDS
• Matthew Patrick Dolan, PT, DPT
• Sheriff A Dosunmu
• Dr Alexander C. Nnabue and Associates,PA (Visual Eyes)

• Home Health Agency in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.