NPIMap

Organization Active NPI

Divine Healthcare Services

  • Home Health Agency
  • East Orange, NJ
National Provider Identifier
1952840415
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0106600 Issued in NJ
Legal business name
DIVINE HEALTHCARE SERVICES
Practice address
60 Evergreen PL
Suite 501
East Orange, NJ 07018-9992
Phone
(973) 395-9501
Fax
(973) 395-9502
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Ms. Stella Obidigbo
Title
Director of Nursing
Phone
(973) 395-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0106600 NJ Primary

Addresses

Primary practice location

60 Evergreen PL
Suite 501
East Orange, NJ 07018-9992

Mailing address

60 Evergreen PL
Suite 501
East Orange, NJ 07018-9992

National Provider Directory

National Provider Directory
Tax ID family
Divine Healthcare Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1952840415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL",
            "address_2": "SUITE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070189992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL",
            "address_2": "SUITE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070189992",
            "telephone_number": "973-395-9501",
            "fax_number": "973-395-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "OBIDIGBO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "973-395-9501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0106600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.