Divine Favour Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA4843 Issued in AZ

Legal business name

DIVINE FAVOUR HEALTH SERVICES LLC

Practice address

10640 N 28TH Dr # 205-20
Phoenix, AZ 85029-4527

Phone

(602) 795-5450

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Emmanuel C Uba

Title

Administrator

Phone

(602) 577-3137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037464

Legal name

DIVINE FAVOUR HEALTH SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 16, 2017

Last certification

Oct 3, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

11225 N 28TH Dr
Ste D115G
Phoenix, AZ 85029-5609

Listed as

Divine Favour Health Services, LLCCCN 037464

Ownership

Proprietary

Certified

Mar 16, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891006029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR # 205-20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294527",
            "telephone_number": "602-795-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR # 205-20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294527",
            "telephone_number": "602-795-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAVOUR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UBA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-577-3137"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.