Divine Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME HEALTH CARE, LLC

Practice address

17801 111TH Ave SE
Renton, WA 98055-6540

Phone

(614) 432-6620

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By 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. Mary Muchene, RN/BSN

Title

Administrator

Phone

(614) 432-6620

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1902247430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 111TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556540",
            "telephone_number": "614-432-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 111TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556540",
            "telephone_number": "614-432-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MUCHENE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-432-6620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Dinkel, SLP
• Josephine Janine Dion, MS, CCC-SLP
• Megan Aileen Dippe, PA-C
• Sundus Dirie
• Divine Behavioral Health Services LLC
• Anh-CHI DO, MD
• Lien Thibich DO, PHARMD
• Tony Hieu Thanh DO, ARNP, FNP-BC
• Doc Robin D PS (Highlands Chiropractic)
• Isaac Stephen Dockter

• Home Health Agency in Renton, WA
• Providers in Renton, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.