Organization Active NPI

Devine Home Health Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1790144392
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVINE HOME HEALTH CARE LLC
Practice address
3821 N 15TH Ave
Phoenix, AZ 85015-5545
Phone
(623) 332-5677
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Nur Dahir
Title
Ceo
Phone
(623) 332-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3821 N 15TH Ave
Phoenix, AZ 85015-5545

Mailing address

3821 N 15TH Ave
Phoenix, AZ 85015-5545
Phone (623) 332-5677

National Provider Directory

National Provider Directory

Locations

3821 N 15th Ave
Phoenix, AZ 85015
Phone (602) 370-2800

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1790144392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155545",
            "telephone_number": "623-332-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155545",
            "telephone_number": "623-332-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "NUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-332-5677"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.