Organization Active NPI

Divine Connection Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairmount Heights, MD
National Provider Identifier
1952277402
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVINE CONNECTION HEALTHCARE LLC
Practice address
953 Eastern Ave
Fairmount Heights, MD 20743-1305
Phone
(202) 725-0260
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Nkechi Iweriebor
Title
Owner
Phone
(202) 725-0260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

953 Eastern Ave
Fairmount Heights, MD 20743-1305

Mailing address

953 Eastern Ave
Fairmount Heights, MD 20743-1305
Phone (202) 725-0260

National Provider Directory

National Provider Directory

Locations

953 Eastern Ave
Fairmount Heights, MD 20743
Phone (202) 725-0260

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1952277402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 EASTERN AVE",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431305",
            "telephone_number": "202-725-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 EASTERN AVE",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431305",
            "telephone_number": "202-725-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CONNECTION HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "IWERIEBOR",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-725-0260"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmount Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.