Organization Active NPI

Divine Care LLC

  • Home Health Agency
  • Austell, GA
National Provider Identifier
1730882333
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CARE LLC
Practice address
325 Riverside Pkwy SW Apt 3J
Austell, GA 30168-7350
Phone
(404) 399-1294
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Nkechi M Ekwealor
Title
Owner
Phone
(443) 399-1294

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Home Health Aide 374U00000X

Addresses

Primary practice location

325 Riverside Pkwy SW Apt 3J
Austell, GA 30168-7350

Mailing address

325 Riverside Pkwy SW Apt 3J
Austell, GA 30168-7350
Phone (404) 399-1294

National Provider Directory

National Provider Directory

Locations

325 Riverside Pkwy SW
Apt 3J
Austell, GA 30168
Phone (404) 399-1294

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1730882333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 RIVERSIDE PKWY SW APT 3J",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301687350",
            "telephone_number": "404-399-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 RIVERSIDE PKWY SW APT 3J",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301687350",
            "telephone_number": "404-399-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "EKWEALOR",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-399-1294"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.