Divine Family Care LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DIVINE FAMILY CARE LLC

Practice address

8194 Sunrise Blvd
Citrus Heights, CA 95610-1535

Phone

(916) 600-7989

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Georgenia Chiegeonu Aka

Title

Administrator

Phone

(916) 600-7989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G776

Legal name

Divine Family Care LLC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 16, 2019

Last certification

Apr 29, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

8194 Sunrise Blvd.
Citrus Heights, CA 95610

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1891107231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101535",
            "telephone_number": "916-600-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101535",
            "telephone_number": "916-600-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "AKA",
        "authorized_official_first_name": "GEORGENIA",
        "authorized_official_middle_name": "CHIEGEONU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-600-7989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignity Health Medical Foundation
• Winnie Dillon
• Helen T. Dinh-Chung, PA-C
• Cuong Phu Dinh
• Jennifer M Dinsmore
• Claire Elizabeth Dixon
• Dana Lynne Dixon
• Uyen DO
• Emil Dobre
• Lyubov Stanislavovna Dobryanska

• Intellectual Disabilities Intermediate Care Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.