Divine Angel Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCBS000287900 Issued in FL

Legal business name

DIVINE ANGEL SERVICES, INC

Practice address

2265 SW 25TH St
Miami, FL 33133-2323

Phone

(305) 388-0166

Fax

(305) 388-0565

NPI assigned

Sep 5, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Dominica Campos

Title

President

Phone

(786) 316-5224

Specialties & licenses 2

Addresses

Tax ID family

Divine Angel Services Inc2 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.

• Divine Angels Services

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1790113306
  NPD tax ID

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

{
    "created_epoch": "1283644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283644800000",
    "number": "1770890238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332323",
            "telephone_number": "305-388-0166",
            "fax_number": "305-388-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332323",
            "telephone_number": "305-388-0166",
            "fax_number": "305-388-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGEL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-05",
        "last_updated": "2010-09-05",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-316-5224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "FSL000287901",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "HCBS000287900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified 3 Group, Corp
• Diversified American, Corp
• Diversified DME & Supply Corp
• Diversified Health Care Associates Corp
• Diversified Home Health Care Center Inc
• Divine Angels Services
• Divine Health Care Corp.
• Jason R. Divito, D.O.
• Juan Pablo Divo Carrera, SA-C
• Maria Churaman Diwanji, M.D.

• In Home Supportive Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.