NPIMap

Organization Active NPI

Divine Home Health Group, Inc

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1972988293
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE HOME HEALTH GROUP, INC
Practice address
6107 Memorial Hwy
Suite B
Tampa, FL 33615
Phone
(813) 890-3400
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Gelys GongoraNPI 1912674805
Title
President
Phone
(813) 890-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6107 Memorial Hwy
Suite B
Tampa, FL 33615

Mailing address

3980 Tampa Road
Suite 205H
Oldsmar, FL 34677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1972988293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 TAMPA ROAD",
            "address_2": "SUITE 205H",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "34677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-890-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "GELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-890-3400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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