Divine Home Health Care II, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME HEALTH CARE II, INC

Practice address

3501 W Vine St
Kissimmee, FL 34741-4643

Phone

(813) 810-8650

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Gelys Gongora

Title

Administrator

Phone

(813) 810-8650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1871952770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414643",
            "telephone_number": "813-810-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH CARE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "GELYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-810-8650"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Direct Behavioral Strategies LLC
• Carrie E Dirschka
• Christian Disla, AP
• Carolyn Divers, LCSW
• Divine Healthcare Agency LLC
• Divine Manor Assisted Living Facility Inc
• Divine Orthopedics and Spine LLC
• Divine Solutions Residential Services LLC.
• Pamela Dixon Brewer, CNA, PHLEBOTOMIST
• Drake Dixon

• Home Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.