DIVINE HEALTHCARE SERVICES,INC (NPI# 1528476173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528476173 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE SERVICES,INC |
| Practice Address |
1818 New York Ave Ne Ste 228 Washington DC 20002-1851 |
| Practice Telephone | 3012577575 |
| Mailing Telephone | 3012577575 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MR. HAMID STANLEY CONTEH (ADMINISTRATOR) |
| Authorized Official Telephone | 3012577575 |
| Authorized Official Credential | L.P.N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | NSA0230 | DC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336348853 | Divine Healthcare Services,inc | Community/Behavioral Health | 405 W Manchester Blvd, Suite A, Inglewood, CA 90301-1196 | 2007-07-13 |
| Street Address |
1818 NEW YORK AVE NE STE 228 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871854448 | Gbassay Tarawally | Registered Nurse | 1818 New York Ave Ne Ste 228, Washington, DC 20002-1851 | 2012-05-31 |
| 1134484926 | Montique Stephon Mahan | Home Health Aide | 1818 New York Ave Ne Ste 228, Washington, DC 20002-1851 | 2012-07-09 |
| 1053672550 | George Gyeke Aboagye | Registered Nurse | 1818 New York Ave Ne Ste 228, Washington, DC 20002-1851 | 2012-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938445 | Nekia Sharisse Davis | In Home Supportive Care | 933 N St Nw Apt 102, Washington, DC 20001-4248 | 2020-10-01 |
| 1871109165 | Gabrielle Gardner | In Home Supportive Care | 3298 Fort Lincoln Dr Ne, Washington, DC 20018-4341 | 2020-09-22 |
| 1659995819 | Cheryl D Stradford | In Home Supportive Care | 4319 Gorman Ter Se, Washington, DC 20019-4256 | 2020-06-03 |
| 1639708605 | Linda D. Leary | In Home Supportive Care | 6805 Georgia Ave Nw Apt 21, Washington, DC 20012-2665 | 2020-04-02 |
| 1174156236 | Prestige Home and Community Support Inc | In Home Supportive Care | 1418 Good Hope Rd Se, Washington, DC 20020-5615 | 2020-02-18 |
| 1023640380 | Compassionate Healthcare, LLC | In Home Supportive Care | 1025 Conn Ave Nw, Washington, DC 20036-5405 | 2020-02-05 |
| 1821659442 | Walkenhorst Senior Care, LLC | In Home Supportive Care | 1615 Heritage Hills Dr, Washington, MO 63090-4619 | 2019-06-25 |
| 1053972802 | Icare Now, LLC | In Home Supportive Care | 5807 Eads St Ne, Washington, DC 20019-6924 | 2019-06-24 |
| 1447713938 | Barbara A Byrd | In Home Supportive Care | 3028 Pineview Ct Ne, Washington, DC 20018-1618 | 2019-04-11 |
| 1720541105 | Dani Hilliard | In Home Supportive Care | 1900 Minnesota Ave Se Apt 201, Washington, DC 20020-5452 | 2019-04-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
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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.