DIVINE LIGHT (NPI# 1427608611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427608611 |
| Entity Type | Organization |
| Organization Name | DIVINE LIGHT |
| Practice Address |
2211 Maryland Ave Baltimore MD 21218-5627 |
| Practice Telephone | 4435521460 |
| Mailing Telephone | 4435521460 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | SAKINA PARKS (CEO) |
| Authorized Official Telephone | 4435521460 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIVINE LIGHT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 270019100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Divine Light & Guidance, LLC | 29 Cougar Drive, Manchester, CT 06040 |
| Colorado Business Entities | Divine Light Center Inc. | 8 Florabunda Lane, Cinnaminson, NJ 08077 |
| Oregon Corporations, Companies and Business Names | DIVINE LIGHT COACHING | 7707 Sw Pine St, Portland, OR 97223 |
| Colorado Business Entities | Divine Light Coaching Inc. | 7700 E Peakview Ave, # 165, Englewood, CO 80111 |
| Washington State Corporations | DIVINE LIGHT ENTERPRISES | 3315 Ne 137th St Unit B201, Seattle, WA 98175 |
| Oregon Corporations, Companies and Business Names | DIVINE LIGHT GIFTS | 3430 Se Belmont St, Portland, OR 97214 |
| Oregon Corporations, Companies and Business Names | DIVINE LIGHT GIFTS & PUBLISHING | 55 Wallace St, Gleneden Beach, OR 97388 |
| Colorado Business Entities | Divine Light Harmonization LLC | 15138 E Andrews Dr., Unit 103, Denver, CO 80239 |
| Colorado Business Entities | Divine Light Healing, LLC | 1336 N Corona Street, Denver, CO 80218 |
| New York State Corporations | DIVINE LIGHT IN YOUR HEART INC. | 875 Avenue of The Americas, Suite 501, New York, Ny 10001 |
| Street Address |
2211 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881922490 | Goodwill Industries of The Chesapeake, Inc | Local Education Agency (LEA) | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2009-11-20 |
| 1699239038 | You and M. E. Counseling | Counselor | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2019-01-30 |
| 1043742745 | Audacity of Hope Behavioral Health | Clinical Medical Laboratory | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2017-03-31 |
| 1679934731 | You and M. E. Counseling, LLC | Counselor | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2016-03-16 |
| 1689078057 | Audacity of Hope Behavioral Health LLC | Health Maintenance Organization | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
| 1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
| 1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
| 1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
| 1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
| Find all providers in BALTIMORE | ||||
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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.