Divinity Group Enterprises Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINITY GROUP ENTERPRISES INC

Practice address

3207 Sunnyford LN
Lithonia, GA 30038-2260

Phone

(678) 939-6664

Fax

(786) 272-0641

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Joseph F Bailey Jr.

Title

Owner/Ceo

Phone

(678) 939-6664

Specialties & licenses 1

Addresses

Other names 2

• Divinity Personal Care Home Inc Former legal business name
• n/a Former legal business name

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1790071058",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3207 SUNNYFORD LANE",
            "city": "LITHONIA",
            "state": "GEORGIA",
            "postal_code": "30038",
            "telephone_number": "678-939-6664",
            "fax_number": "786-272-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 SUNNYFORD LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382260",
            "telephone_number": "678-939-6664",
            "fax_number": "786-272-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY GROUP ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-939-6664",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divinity Personal Care Home Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.