DIVINE HOME CARE INC. (NPI# 1629396437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629396437 |
| Entity Type | Organization |
| Organization Name | DIVINE HOME CARE INC. |
| Practice Address |
111 Commonwealth Ave Suite 100 Bristol VA 24201-3831 |
| Mailing Address |
111 Commonweath Avenue Suite100 Bristol VA 24201 |
| Practice Telephone | 2766443120 |
| Mailing Telephone | 2766443120 |
| Mailing Fax Number | 2766443123 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | MRS. KIMBERLY MICHELLE MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2766443120 |
| Authorized Official Credential | REGISTERD NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710284476 | Divine Home Care Inc. | In Home Supportive Care | 24613 Union St, Dearborn, MI 48124-3150 | 2011-02-16 |
| 1811201387 | Divine Home Care Inc. | Health Maintenance Organization | 446 South B, Crowder, OK 74430 | 2010-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DIVINE HOME CARE INC. | 1283 East Main St., Lebanon, Virginia 24266 |
| North Carolina Corporations | Divine Home Care Inc. | 3505 Hwy 401 Bus, Raeford, NC 28376-6481 |
| Street Address |
111 COMMONWEALTH AVE SUITE 100 |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386712263 | Joseph Mark Crum | Chiropractor | 111 Commonwealth Ave, Suite 120, Bristol, VA 24201-3831 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1891346409 | Donna/peter Page | Home Health | 25 Eugene Ave, Bristol, CT 06010-7211 | 2019-09-25 |
| 1538713466 | Zaza L Kandakai | Home Health | 20 Lincoln Ave, Bristol, PA 19007-5311 | 2019-07-29 |
| 1821509613 | Sudee Home Care, LLC. | Home Health | 821 Garden St, Bristol, PA 19007-3912 | 2017-10-19 |
| 1578925905 | We C.a.r.e. Home Health Agency LLC | Home Health | 1711 Bath Rd, Bristol, PA 19007-2701 | 2016-03-24 |
| 1124323530 | Assisting Angels Medical Care Svcs, Inc. | Home Health | 1200 Veterans Hwy Ste F-8, Bristol, PA 19007-2525 | 2011-01-14 |
| 1316175722 | Lpt Enterprises, Inc | Home Health | 2409 Volunteer Pkwy Ste A, Bristol, TN 37620-6807 | 2009-06-24 |
| 1508041567 | American Home Health Care LLC | Home Health | 2681 Lee Hwy, Bristol, VA 24202-5872 | 2008-01-08 |
| 1558444638 | The Greater Bristol Visiting Nurse Association Inc | Home Health | 195 Maltay Street, Bristol, CT 06010-3817 | 2006-10-23 |
| 1811092273 | Bristol Home Care and Hospice Agency Inc | Home Health | 32 Valley St Ste D, Bristol, CT 06010-4991 | 2006-09-13 |
| Find all providers in BRISTOL | ||||
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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.