Divine Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME CARE LLC

Practice address

381 Rainbow Rd
Windsor, CT 06095-1141

Phone

(860) 994-1516

NPI assigned

Nov 11, 2018

Organization subpart

No

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

Authorized official

Name

Emmanuel A Agyeman, LPN

Title

Manager

Phone

(860) 994-1987

Specialties & licenses 2

Addresses

Other names 1

• DIVINE HOME CARE LLC Doing business as

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1881162576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RAINBOW RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951141",
            "telephone_number": "860-994-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 RAINBOW RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951141",
            "telephone_number": "860-994-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-994-1987",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DIVINE HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Windsor, CT
• Providers in Windsor, CT by specialty
• Home Health Agency in Connecticut

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