Divine Miracles Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE MIRACLES HOME CARE AGENCY

Practice address

2173 Embassy Dr
Lancaster, PA 17603-2387

Phone

(717) 923-5030

Fax

(717) 923-5031

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Yecenia Luz Pagan, CEO

Title

Ceo

Phone

(717) 923-5030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1740946045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-923-5030",
            "fax_number": "717-923-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-923-5030",
            "fax_number": "717-923-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MIRACLES HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "YECENIA",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-923-5030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elizabeth Dissler
• Rebecca Anne Dithridge, FNP
• Mindy Sue Ditzler, LBS, MA
• Kristi Lee Dively, DO
• Diversity Works CSCT, LLC
• Divine Nurturing Care LLC
• Diy Psyschology, PLLC
• Brian R. Dobslaw, CRNP
• Courtney Kristen Docherty, DO
• Benjamin Dodson, PA

• Home Health Agency in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.