Organization Active NPI

El & Divine Home Health Care LLC

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1821487950
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-151153 Issued in VA
Legal business name
EL & DIVINE HOME HEALTH CARE LLC
Practice address
3330 Bourbon St Ste 108
Fredericksburg, VA 22408-7333
Phone
(540) 689-0333
Fax
(540) 689-0333
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Vida A Adusei-PokuNPI 1982075974
Title
Administrator/ Owner
Phone
(703) 987-5052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-151153 VA Primary

Addresses

Primary practice location

3330 Bourbon St Ste 108
Fredericksburg, VA 22408-7333

Mailing address

3330 Bourbon St Ste 108
Fredericksburg, VA 22408-7333
Phone (540) 689-0333

National Provider Directory

National Provider Directory

Locations

3330 Bourbon St
Ste 108
Fredericksburg, VA 22408
Phone (540) 689-0333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1821487950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "540-689-0333",
            "fax_number": "540-689-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "540-689-0333",
            "fax_number": "540-689-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL & DIVINE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "ADUSEI-POKU",
        "authorized_official_first_name": "VIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "703-987-5052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-151153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.