Divine Healing Healthcare & Durable Medical Equipment LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

DIVINE HEALING HEALTHCARE & DURABLE MEDICAL EQUIPMENT LLC

Practice address

2815 Carolina RDG
Riverdale, GA 30296-6021

Phone

(678) 755-1398

Fax

(877) 540-0443

NPI assigned

Jul 8, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chinyere M Izuchukwu, NPNPI 1942698022

Title

Owner

Phone

(678) 755-1398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chinyere Izuchukwu, NP

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1942698022
  Authorized official Same address or phone

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1891366902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CAROLINA RDG",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966021",
            "telephone_number": "678-755-1398",
            "fax_number": "877-540-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CAROLINA RDG",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966021",
            "telephone_number": "678-755-1398",
            "fax_number": "877-540-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING HEALTHCARE & DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "IZUCHUKWU",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-755-1398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Diamond, M.D.
• Eloy Edilberto Diaz Sr., M.D.
• Terry Dickerson, D.P.M.
• Michael Angel Dicristina, M.D.
• Dignity Hospice and Healthcare LLC
• Divine Private Home Care Provider
• Divine Source Healthcare Systems, Inc
• Divine Trinity Mobile Lab & CPR Services, LLC
• Barry R Dix, M.S.
• Fredrico Albert Dixon III, DDS

• Nursing Care Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.