Divine Oasis Home Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE OASIS HOME HEALTH SERVICES LLC

Practice address

70 Gramercy LN
Willingboro, NJ 08046-3322

Phone

(571) 277-6003

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Fatmata RaymondNPI 1629353404

Title

Ambr

Phone

(571) 277-6003

Specialties & licenses 1

Addresses

Tax ID family

Divine Oasis Home Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Divine Oasis Home Health Services LLC

  • Home Health Agency
  • Burlington, NJ
  • NPI 1942195771
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatmata Raymond, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, NJ
  • NPI 1629353404
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1992577944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JENNIFER LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161142",
            "telephone_number": "571-277-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GRAMERCY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463322",
            "telephone_number": "571-277-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE OASIS HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "FATMATA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "571-277-6003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.