Divine Community Afc, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE COMMUNITY AFC, INC

Practice address

300 West Main St Building C Suite 1 & 2
Northborough, MA 01532

Phone

(508) 466-8050

Fax

(617) 934-7265

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Suleiman Kamara

Title

Ceo

Phone

(508) 375-8333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1750199857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST MAIN ST BUILDING C SUITE 1 & 2",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "01532",
            "telephone_number": "508-466-8050",
            "fax_number": "617-934-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST MAIN ST BUILDING C SUITE 1 & 2",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "01532",
            "telephone_number": "508-466-8050",
            "fax_number": "617-934-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COMMUNITY AFC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "SULEIMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-375-8333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Marie Dodge, PT
• Brigit Donohue, DDS
• Roshani Badwaik Douangphachanh

• Home Health Agency in Northborough, MA
• Providers in Northborough, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.