Debra's Divine Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEBRA'S DIVINE CARE LLC

Practice address

5608 Kenny Dr
Tampa, FL 33617-7711

Phone

(813) 546-4884

Fax

(813) 983-1860

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Ann WallaceNPI 1912149188

Title

Ceo/ Owner

Phone

(813) 546-4884

Specialties & licenses 1

Addresses

Tax ID family

Debra's Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Debra's Divine Care Inc

  dba Debra's Assisted Living Facility

  • Home Health Agency
  • Tampa, FL
  • NPI 1275892564
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Ann Wallace

  • Nurse's Aide
  • Tampa, FL
  • NPI 1912149188
  NPD (past) Authorized official

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1740591718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 KENNY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177711",
            "telephone_number": "813-546-4884",
            "fax_number": "813-983-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 KENNY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177711",
            "telephone_number": "813-546-4884",
            "fax_number": "813-983-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA'S DIVINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "813-546-4884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah a Trehy MD PA & Pamela a Padilla MD PA (Trehy & Padilla MD)
• Deborah Laskowski
• Cynthia Debose
• Tijuana Debose
• Debra's Divine Care Inc (Debra's Assisted Living Facility)
• Amanda Marie Debruin, PHARM.D., BCPS, CGP
• Nicole Elizabeth Decambra, D.M.D.
• Kristen Herrmann Decelles, AU.D.
• Danielle Dechellis, RD, LDN
• Decker Therapy Services, LLC

• Home Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.