Divine Humanity Homecare LLC.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DIVINE HUMANITY HOMECARE LLC.

Practice address

841 Prudential Dr FL 12
Jacksonville, FL 32207-8874

Phone

(904) 333-3709

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 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

Ms. Monica Andrea Parks, RNNPI 1730846049

Title

Owner/Ceo

Phone

(904) 333-3709

Specialties & licenses 3

Addresses

Tax ID family

Divine Humanity Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine Humanity Homecare LLC.

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1912520529
  NPD tax ID

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.

• Monica Andrea Parks, RN

  • Registered Nurse
  • Jacksonville, FL
  • NPI 1730846049
  NPD Authorized official

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1912666462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078874",
            "telephone_number": "904-333-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078874",
            "telephone_number": "904-333-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HUMANITY HOMECARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-333-3709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Enterprises, Inc. (Emman Elder Care Center)
• Divine Healing Homecare LLC
• Divine Healing Homecare LLC
• Divine Homemaker & Companion
• Divine Humanity Homecare LLC.
• Divine Treasure House
• Divine Trinity Home Care, LLC
• Divine Vision Support Services, Inc.
• Jonathan Divine, D.O.
• Jennifer Dawn Divita, M.ED

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.