Divine 5 Services, LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

DIVINE 5 SERVICES, LLC

Practice address

304 E Church St
Monroe, GA 30655-2508

Phone

(770) 217-1821

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Elante Harris

Title

Ceo

Phone

(770) 217-1821

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1801384912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E CHURCH ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552508",
            "telephone_number": "770-217-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E CHURCH ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552508",
            "telephone_number": "770-217-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE 5 SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ELANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-217-1821"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICAL",
            "identifier": "824625122",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe H Dew, OD
• Susan Elizabeth Dexter, NURSE PRACTITIONER
• Natasha A Dhannani
• Kelly Nicole Dickerson, LCSW
• Divine 5 Services LLP
• Valerie Paige Doebrick Wilkinson, L.M.T.
• Maggie Dotson, NP
• Kayla S Dowling, DC
• Dr Siruvella MD PC
• Drayer Physical Therapy Georgia LLC

• Transportation Broker in Monroe, GA
• Providers in Monroe, GA by specialty
• Transportation Broker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.