Wild Karma, Inc Dba Divine Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILD KARMA, INC DBA DIVINE HOME CARE

Doing business as

Divine Home Care

Practice address

241 Joaquin Ave
San Leandro, CA 94577-4709

Phone

(510) 639-9088

Fax

(510) 639-1814

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Robbin Beebe

Title

Ceo

Phone

(510) 639-9088

Specialties & licenses 1

Addresses

Other names 1

• Divine Home Care Doing business as

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1871873984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 JOAQUIN AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774709",
            "telephone_number": "510-639-9088",
            "fax_number": "510-639-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 JOAQUIN AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774709",
            "telephone_number": "510-639-9088",
            "fax_number": "510-639-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD KARMA, INC DBA DIVINE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-639-9088"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tjoen-Tan Widjaja, RPH
• Lana Wiens, CCC-SLP
• Sarah Jean Wietbrock
• Michael Wiggins II
• Cynthia Eve Wikler, M.D.
• Andre Lamond Wilkes Sr., SUD REG COUNSELOR
• Erick Grant Wilkins, MSW
• Leslie Gendler Wilkof, M.D.
• Belinda Will, CRNA
• Jasmine Will

• In Home Supportive Care Agency in San Leandro, CA
• Providers in San Leandro, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.