Divine Community Resources Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE COMMUNITY RESOURCES INC

Practice address

300 W Main St Ste 104
Northborough, MA 01532-2132

Phone

(774) 414-0700

NPI assigned

Dec 6, 2019

Organization subpart

No

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

Authorized official

Name

Tunnu Sepetu

Title

Owner

Phone

(774) 414-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1881231033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 ARBOR DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456002",
            "telephone_number": "774-414-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST STE 104",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322132",
            "telephone_number": "774-414-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COMMUNITY RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "SEPETU",
        "authorized_official_first_name": "TUNNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-414-7000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Livery, LLC
• Jennifer K Dibenedetto, PHD, APRN, FNP-C
• Debora Diemont, LICSW
• Divine Community Afc, Inc
• Divine Community Care (ABA Therapy), Inc.
• Amanda Marie Dodge, PT
• Brigit Donohue, DDS
• Roshani Badwaik Douangphachanh
• Christina Michelle Doucette, MH
• Dr. Alison Mehta DO LLC

• In Home Supportive Care Agency in Northborough, MA
• Providers in Northborough, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.