Divine Supports

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE SUPPORTS

Practice address

2131 Murfreesboro Pike Ste 211
Nashville, TN 37217-6316

Phone

(615) 432-2917

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Millicent Iwuchukwu, DR.

Title

Ceo

Phone

(615) 594-7139

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1730651571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 MURFREESBORO PIKE STE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372176316",
            "telephone_number": "615-432-2917",
            "fax_number": "615-250-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 MURFREESBORO PIKE STE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372176316",
            "telephone_number": "615-432-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "IWUCHUKWU",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-594-7139",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "05727485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Frederick Dittrich, MD
• Janet L Dittus, MD
• Robert Dittus, MD
• Divine Interventionist
• Divine Quality Care
• Tessa Talia Divine, BCBA, LBA
• Rachael Divinnie, N.P.
• Jenna Dix
• Gary Dixner, SA-C
• Dixon Center of Chiropractic Inc

• In Home Supportive Care Agency in Nashville, TN
• Providers in Nashville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.