Organization Active NPI

Divine Care and Wellness LLC

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1891390241
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CARE AND WELLNESS LLC
Practice address
120 W Church St Ste 3B
Frederick, MD 21701-7813
Phone
(240) 696-7048
Fax
(301) 618-0407
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Sylvia Rollins
Title
Billing Manager
Phone
(410) 719-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

120 W Church St Ste 3B
Frederick, MD 21701-7813

Mailing address

120 W Church St Ste 3B
Frederick, MD 21701-7813
Phone (240) 696-7048

National Provider Directory

National Provider Directory

Locations

120 W Church St
Ste 3B
Frederick, MD 21701
Phone (240) 696-7048

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1891390241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST STE 3B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017813",
            "telephone_number": "240-696-7048",
            "fax_number": "301-618-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST STE 3B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017813",
            "telephone_number": "240-696-7048",
            "fax_number": "301-618-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-719-0020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.