Care Divine Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE DIVINE HEALTH SERVICES LLC

Practice address

245 River St
Suite 128
Fitchburg, MA 01420-3282

Phone

(978) 400-5643

Fax

(978) 627-3462

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis G Gunda Dadzie

Title

Ceo

Phone

(978) 400-5643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1962898270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RIVER ST",
            "address_2": "SUITE 128",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203282",
            "telephone_number": "978-400-5643",
            "fax_number": "978-627-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RIVER ST",
            "address_2": "SUITE 128",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203282",
            "telephone_number": "978-400-5643",
            "fax_number": "978-627-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIVINE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "GUNDA DADZIE",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-400-5643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Cantalupa, BA
• Colleen Canty
• Tina Marie Capone, LICSW
• Shane Capra, MA; BA
• Roberto Jose Carcamo-Sanabria, MD
• Carewell Urgent Care Centers of Ma, PC
• Sally Ann Carll-Long, NP
• Stephanie Joyce Carlson, M.ED, LMHC
• Oliver Carmack
• Peter Carmack

• Home Health Agency in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.