Executives Group Dba Divine Touch Home Care Sevices

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXECUTIVES GROUP DBA DIVINE TOUCH HOME CARE SEVICES

Practice address

91-1077 Kanela St
Ewa Beach, HI 96706-5957

Phone

(808) 285-9826

Fax

(619) 324-7796

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Laarni Alfonso

Title

Executive Officer

Phone

(808) 675-6564

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1871128397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107-139",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "808-675-6564",
            "fax_number": "619-324-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1077 KANELA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065957",
            "telephone_number": "808-285-9826",
            "fax_number": "619-324-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVES GROUP DBA DIVINE TOUCH HOME CARE SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "LAARNI",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-675-6564"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WECARE@DIVINETOUCH-HCS.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EWA BEACH",
            "address_1": "91-1077 Kanela St",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967065957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.