Divine Careline Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE CARELINE HEALTH LLC

Practice address

2235 E Flamingo Rd Ste 136
Las Vegas, NV 89119-5189

Phone

(702) 268-2182

Fax

(702) 268-2185

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Mr. Bernard Cu Dykheng

Title

Ceo

Phone

(702) 268-2182

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902520034. Details of each certification follow.

• CCN 297381 Home health agency · Active · Details

Home health agency certification: CCN 297381

Legal name

DIVINE CARELINE HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 4, 2025

Last certification

Jul 31, 2025

Organization structure

LLCProprietary

Incorporated

Jun 1, 2022 in NV

Enrollment address

2235 E Flamingo Rd
Ste 136
Las Vegas, NV 89119-5189

Listed as

Divine Careline Health LLCCCN 297381 · All quality measures

Ownership

-

Certified

Aug 4, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jee Jean Tolentino Dykheng, FNP-C

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1386477115

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jee Jean Tolentino Dykheng, FNP-C

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1386477115

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1902520034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 136",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195189",
            "telephone_number": "702-268-2182",
            "fax_number": "702-268-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 136",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195189",
            "telephone_number": "702-268-2182",
            "fax_number": "702-268-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARELINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "DYKHENG",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "CU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-268-2182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "telephone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2235 E Flamingo Rd Ste 136",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891195189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diversified Medical Distribution Inc.
• Diversity Wellness Group (Diversity Counseling of Nevada)
• Kent Divich
• Kristen Jewell Eileen Divich
• Divine Care Services of Nevada
• Divine Exxpectations Comfort Homes (Divine Exxpectations Comfort)
• Divine Family Assistance of Nevada (Dfan Behavioral Health)
• Divine Health and Wellness Corp
• Divine Health Products
• Divine Healthcare Solutions LLC

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.