Divine Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HOMECARE

Practice address

5704 El Rito Ave NW
13404 Cloudview Ave NE
Albuquerque, NM 87105-1140

Phone

(505) 293-0758

Fax

(505) 293-0758

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Miss Michelle Renee Benjamin

Title

Ceo/Owner

Phone

(505) 293-0758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1891045894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 EL RITO AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87105",
            "telephone_number": "505-293-0758",
            "fax_number": "505-293-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 EL RITO AVE NW",
            "address_2": "13404 CLOUDVIEW AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051140",
            "telephone_number": "505-293-0758",
            "fax_number": "505-293-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "505-293-0758",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carine Divett, LMSW
• Raquela Divett
• Robert Trevor Divett
• William Jacob Divett, LCSW
• Linda Joy Divincenzo, RN
• Divine Interventions Occupational Therapy
• Divineangel Care Services
• Amber Vanessa Dix, ACNP
• Rebecca Ann Dixon-Jeffer
• Anita M Dixon, NP

• In Home Supportive Care Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.