DIVINE HEALTHCARE SUPPLIES, LLC (NPI# 1487786307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487786307 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE SUPPLIES, LLC |
| Practice Address |
7380 Spout Springs Rd Suite 190 Flowery Branch GA 30542-7541 |
| Practice Telephone | 7709672193 |
| Practice Fax Number | 7709672199 |
| Mailing Telephone | 7709672193 |
| Mailing Fax Number | 7709672199 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MR. ALUMA K ORUH (ADMINISTRATOR) |
| Authorized Official Telephone | 7709672193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | BL07086 | GA | Suppliers |
| Street Address |
7380 SPOUT SPRINGS RD SUITE 190 |
| City | FLOWERY BRANCH |
| State | GA |
| Zip Code | 30542-7541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836073 | Bobby Wayne Stone Jr. | Chiropractor | 7380 Spout Springs Rd, 200, Flowery Branch, GA 30542-7541 | 2006-01-25 |
| 1558969188 | Christiane Wilson | Pharmacist | 7380 Spout Springs Rd, Flowery Branch, GA 30542-7541 | 2020-10-15 |
| 1326646167 | Christie Dollar Chewning | Pharmacist | 7380 Spout Springs Rd, Flowery Branch, GA 30542-7541 | 2020-10-14 |
| 1548893647 | Benjamin Edward Thrailkill | Pharmacist | 7380 Spout Springs Rd, Flowery Branch, GA 30542-7541 | 2020-02-17 |
| 1477718393 | Ideal Communications | Speech-Language Pathologist | 7380 Spout Springs Rd, 210, Flowery Branch, GA 30542-7541 | 2008-07-21 |
| 1962675728 | Stone Chiropractic and Rehabilitation | Chiropractor | 7380 Spout Springs Rd, Ste 200, Flowery Branch, GA 30542-7541 | 2008-04-11 |
| 1245264050 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 7380 Spout Springs Rd, Flowery Branch, GA 30542-7541 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
| 1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
| 1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
| 1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
| 1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
| 1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
| 1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
| 1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
| 1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
| Find all providers in zip 30542 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528389293 | Ghr Access, Inc. | Durable Medical Equipment & Medical Supplies | 6707 Crestwood Peninsula, Flowery Branch, GA 30542-2654 | 2010-06-17 |
| 1336466473 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7334 Spout Springs Rd, Flowery Branch, GA 30542-5543 | 2010-04-29 |
| 1952534455 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5963 Spout Springs Rd, Flowery Branch, GA 30542-3452 | 2009-08-31 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1184840142 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4050 Winder Hwy, Flowery Branch, GA 30542-3021 | 2007-04-18 |
| 1740389949 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 5915 Spout Springs Road, Flowery Branch, GA 30542-3450 | 2006-09-22 |
| 1003911371 | Nas Investments of Georgia, Inc | Durable Medical Equipment & Medical Supplies | 5325 Atlanta Hwy, Flowery Branch, GA 30542-3336 | 2006-09-13 |
| 1982614863 | Georgia Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 7395 Spout Springs Rd, Flowery Branch, GA 30542-5544 | 2006-08-09 |
| 1548200900 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 3446 Winder Hwy, Flowery Branch, GA 30542-3007 | 2006-06-07 |
| 1366481335 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5900 Spout Springs Rd, Flowery Branch, GA 30542-6448 | 2006-06-05 |
| Find all providers in FLOWERY BRANCH | ||||
| City | FLOWERY BRANCH |
| Zip Code | 30542 |
Please comment or provide details below to improve the information on DIVINE HEALTHCARE SUPPLIES, LLC.
| 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.