J&T Divine Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

J&T DIVINE CARE

Practice address

440 Royellou LN
Mount Dora, FL 32757-5510

Phone

(352) 729-2210

Fax

(352) 729-2210

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Tesica BarnesNPI 1265109698

Title

Owner

Phone

(407) 756-9492

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

JT Divine Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• J&T Divine Care

  • Attendant Care Provider
  • Mount Dora, FL
  • NPI 1043966476
  NPD tax ID
• J&T Divine Care

  • Attendant Care Provider
  • Altamonte Springs, FL
  • NPI 1184595126
  NPD tax ID
• J&T Divine Care

  • Home Health Agency
  • Altamonte Springs, FL
  • NPI 1568334308
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tesica Barnes

  • Attendant Care Provider
  • Tavares, FL
  • NPI 1265109698
  NPD (past) Authorized official

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1922522499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ROYELLOU LN STE 205",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575520",
            "telephone_number": "407-756-9492",
            "fax_number": "352-729-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ROYELLOU LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575510",
            "telephone_number": "352-729-2210",
            "fax_number": "352-729-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&T DIVINE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TESICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-756-9492"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "020680200",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021179400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020680200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innovative Foot and Ankle Specialists PLLC
• Integrated Regional Laboratories Pathology Services, LLC
• Ivette Santiago M D P a
• J & G Florida Enterprises
• J&T Divine Care
• Jack L Cassell M.D. P.a.
• Kimberly T Jackson, DO
• Jaime H Mejia MD PA
• Jaime Penix MD PA
• Janet L Black D P M P a

• All providers in Mount Dora, FL
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.