Divine Holy Homehealth Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOLY HOMEHEALTH INC

Practice address

22030 Main St Ste 103
Carson, CA 90745-2943

Phone

(424) 448-3928

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Eleanor Valdez

Title

Owner

Phone

(434) 448-3938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1831894344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 MAIN ST STE 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452943",
            "telephone_number": "424-448-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 MAIN ST STE 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452943",
            "telephone_number": "424-448-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOLY HOMEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-448-3938"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.