Divine Grace Staffing Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0909006 Issued in MD

Legal business name

DIVINE GRACE STAFFING SERVICES

Practice address

18477 Stone Hollow Dr
Suite 500
Germantown, MD 20874-2130

Phone

(240) 421-7392

Fax

(240) 454-7485

NPI assigned

Oct 22, 2009

Last updated

Nov 12, 2009By 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

Adenike Hannah Ajibade

Title

Ceo/President

Phone

(240) 421-7392

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1942536107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18477 STONE HOLLOW DR",
            "address_2": "SUITE 500",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742130",
            "telephone_number": "240-421-7392",
            "fax_number": "240-454-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18477 STONE HOLLOW DR",
            "address_2": "SUITE 500",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742130",
            "telephone_number": "240-421-7392",
            "fax_number": "240-454-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE STAFFING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "AJIBADE",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "HANNAH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "240-421-7392"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "0909006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH(MARYLAND) NURSING STAFFING APPROVAL LICENCE NO",
            "identifier": "0909006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Germantown, MD
• Providers in Germantown, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.