Organization Active NPI

Divine Support Services

  • Adult Companion
  • Sicklerville, NJ
National Provider Identifier
1851139901
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
DIVINE SUPPORT SERVICES
Practice address
49 Cambridge Ave
Sicklerville, NJ 08081-1231
Phone
(347) 831-0703
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Janee McDonald
Title
Executive Director
Phone
(347) 831-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

49 Cambridge Ave
Sicklerville, NJ 08081-1231

Mailing address

49 Cambridge Ave
Sicklerville, NJ 08081-1231
Phone (347) 831-0703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1851139901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CAMBRIDGE AVE",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811231",
            "telephone_number": "347-831-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CAMBRIDGE AVE",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811231",
            "telephone_number": "347-831-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JANEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-831-0703"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.