Devine Healthcare Service, Inc.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

DEVINE HEALTHCARE SERVICE, INC.

Practice address

2222 Homewood Ave
Mishawaka, IN 46544-3336

Phone

(574) 255-4545

Fax

(574) 255-7664

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carrie Elaine Devine, OWNER

Title

President

Phone

(574) 255-4545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760556864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465460017",
            "telephone_number": "574-255-4545",
            "fax_number": "574-255-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 HOMEWOOD AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465443336",
            "telephone_number": "574-255-4545",
            "fax_number": "574-255-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE HEALTHCARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-255-4545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.