Organization Active NPI

Divine & Favor Residential Care Services, LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1770347254
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE & FAVOR RESIDENTIAL CARE SERVICES, LLC
Practice address
1437 Hentz Dr
Reynoldsburg, OH 43068-2413
Phone
(217) 419-8023
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Henriette Losokola
Title
Ceo
Phone
(217) 419-8023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1437 Hentz Dr
Reynoldsburg, OH 43068-2413

Mailing address

1437 Hentz Dr
Reynoldsburg, OH 43068-2413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1770347254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 HENTZ DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 HENTZ DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682413",
            "telephone_number": "217-419-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE & FAVOR RESIDENTIAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "LOSOKOLA",
        "authorized_official_first_name": "HENRIETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-419-8023"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.