DIVINE CARE (NPI# 1295111045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295111045 |
| Entity Type | Organization |
| Organization Name | DIVINE CARE |
| Practice Address |
304 B New Street Lawrenceville VA 23856-2224 |
| Mailing Address |
1289 Big Horn Rd Freeman VA 23856-2224 |
| Practice Telephone | 4348482659 |
| Practice Fax Number | 4348482659 |
| Mailing Telephone | 8047318584 |
| Mailing Fax Number | 4348482659 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | JACQUELINE COLEMAN (0WNER) |
| Authorized Official Telephone | 8047318584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922462852 | Divine Care | Assisted Living Facility | 3418 Upland Dr, Anchorage, AK 99504-4072 | 2016-04-06 |
| 1881967412 | Divine Care | Case Manager/Care Coordinator | 1111 W Nolana Ave, Mcallen, TX 78504-3747 | 2012-02-13 |
| 1285126193 | Divine Care | Case Manager/Care Coordinator | 2421 Wevok Way, Grayson, GA 30017-4340 | 2018-06-06 |
| 1619347705 | Divine Care | Home Health | 215 Executive Way, 130, Desoto, TX 75115-2396 | 2015-10-01 |
| 1346661949 | Divine Care | Day Training, Developmentally Disabled Services | 2500 W Broadway, Louisville, KY 40211-1081 | 2013-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIVINE CARE ASSISTED LIVING LLC | 3235 Dorithan Rd, Baltimore, MD 21215-7501 |
| System for Award Management (SAM) Entities | DIVINE CARE INC. | 6400 Royal Pointe Dr, West Bloomfield, MI 48322-4803 |
| Oregon Corporations, Companies and Business Names | DIVINE CARE LLC | 1050 Sw 6th Ave, Portland, OR 97204 |
| Washington State Corporations | DIVINE CARE LLC | 1691 Sw Mulberry Pl Apt F302, Oak Harbor, WA 98277-7166 |
| Virginia Business Entities | Divine Care Medical Transportation Services LLC | 3004 Valleyfield Rd., Henrico Virginia, Virginia 23228 |
| Indiana Business Entities | DIVINE CARE OF INDIANA, LLC | P.o. Box 532491, Indianapolis, IN 46253 |
| Virginia Business Entities | DIVINE CARE RESIDENTIAL SERVICES INC. | 6304 Cheetah Court, Waldorf, Maryland 20603 |
| Street Address |
304 B NEW STREET |
| City | LAWRENCEVILLE |
| State | VA |
| Zip Code | 23856-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881247161 | Caring Hearts Home Care Services LLC | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2019-07-16 |
| 1487287173 | Sherry Wall | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2020-02-20 |
| 1922632157 | Keith Stradford | Adult Companion | 1340 County Pond Rd, Freeman, VA 23856-2604 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496781 | Yanfang Xiao | Nurse Practitioner | 70 Rivershyre Cir, Lawrenceville, GA 30043-6436 | 2020-10-29 |
| 1760082119 | Jacqueline Roseann Bushell | Registered Nurse | 1245 Riverloch Way, Lawrenceville, GA 30043-4488 | 2020-10-27 |
| 1851990394 | Emmanuel Dingsangha | Pharmacist | 3324 Shady Woods Cir, Lawrenceville, GA 30044-2569 | 2020-10-24 |
| 1164021101 | Marquetta Nolbert | Technician, Pathology | 665 Castlebrooke Way, Lawrenceville, GA 30045-2665 | 2020-10-21 |
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1548868755 | Tiffany Lynn Brown | Counselor | 534 Windsor Ct, Lawrenceville, GA 30046-6066 | 2020-10-12 |
| 1013515030 | Perimeter Hospice of Georgia | Hospice Care, Community Based | 150 Stanley Ct Ste E, Lawrenceville, GA 30046-5215 | 2020-10-12 |
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1134735202 | Lighthouse Family Service Center | Counselor | 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215 | 2020-09-23 |
| Find all providers in LAWRENCEVILLE | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825922 | Access Healthcare Providers LLC | Home Health | 223 Scenic Hwy Ste 204, Lawrenceville, GA 30046-5603 | 2020-06-15 |
| 1346895570 | Foremost Healthcare LLC | Home Health | 791 River Hill Dr, Lawrenceville, GA 30046-4035 | 2019-08-05 |
| 1154986669 | Good Samaritan Home Care Services of Vincennes, In, LLC | Home Health | 2012 Lexington Ave Ste 103, Lawrenceville, IL 62439-2092 | 2019-05-09 |
| 1356809917 | Abram Care LLC | Home Health | 1186 Woodington Cir, Lawrenceville, GA 30044-2996 | 2019-03-03 |
| 1902362072 | Gateway Healthcare Systems LLC | Home Health | 990 Lakes Pkwy, Lawrenceville, GA 30043-8904 | 2019-02-13 |
| 1295205193 | Apple Care Services, LLC | Home Health | 3985 Brookshire Pl, Lawrenceville, GA 30044-4701 | 2018-12-04 |
| 1871060665 | Helaax LLC | Home Health | 1683 Taylor Oaks Dr, Lawrenceville, GA 30043-1524 | 2018-10-30 |
| 1528535754 | America A Care, LLC. | Home Health | 636 Simon Ive Dr, Lawrenceville, GA 30045-8564 | 2018-10-25 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1316439870 | Samella Calvin | Home Health | 1202 Royal Ives Ct, Lawrenceville, GA 30045-2635 | 2018-05-31 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 23856 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.