Divine Care Medical Supply Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1189667 Issued in NY

Legal business name

DIVINE CARE MEDICAL SUPPLY SERVICES

Practice address

11703 197TH St
Saint Albans, NY 11412-3453

Phone

(646) 228-0829

NPI assigned

Mar 7, 2008

Organization subpart

Yes

Parent organization

FEMSAM LLCAs reported in NPPES

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

Authorized official

Name

Mr. Kehinde Akojenu

Title

Owner

Phone

(646) 228-0829

Specialties & licenses 1

Addresses

Part of

Divine Care Medical Supply Services

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1740450592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 197TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123453",
            "telephone_number": "646-228-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 197TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123453",
            "telephone_number": "646-228-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE MEDICAL SUPPLY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEMSAM LLC",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "AKOJENU",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-228-0829",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1189667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ainesse Desir
• Nahomie Desir
• Shauna Tesona Desouza
• Susan Diamond, OT
• Arthalie Dieujuste-Seide
• Daphney Dorcely
• Heidy L Dorgerville, LPN
• Mackensdy Dormeus
• Kerlande Dorsainvil
• Dr Bryant Medical Practice PC

• Durable Medical Equipment & Medical Supplies in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.