DIVINE HOME CARE SERVICES, LLC (NPI# 1689028490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689028490 |
| Entity Type | Organization |
| Organization Name | DIVINE HOME CARE SERVICES, LLC |
| Practice Address |
739 Thimble Shoals Blvd 503 Newport News VA 23606-3562 |
| Practice Telephone | 7577686021 |
| Mailing Telephone | 7577686021 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | MRS. DALITHEA SMALLS (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 7577686021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364492 | Divine Home Care Services, LLC | Nursing Care | 639 S Hamilton Rd, Columbus, OH 43213-3176 | 2017-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | DIVINE HOME CARE SERVICES, LLC | 27 WARREN STREET , BRENTWOOD, NEW YORK 11717 |
| Virginia Business Entity | Divine Home Care Services, LLC | 739 THIMBLE SHOALS BOULEVARD SUITE 503, NEWPORT NEWS, VA 23606 |
| Street Address |
739 THIMBLE SHOALS BLVD 503 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891585 | Irene Marre-anne White | Nurse Practitioner | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3585 | 2006-05-24 |
| 1134596224 | Peninsula Agency On Aging | Voluntary or Charitable | 739 Thimble Shoals Blvd, Building 1000, Ste 1006, Newport News, VA 23606-3562 | 2015-08-25 |
| 1053726398 | New Directions for Broken Families | Community/Behavioral Health | 739 Thimble Shoals Blvd, Suite 1011-b, Newport News, VA 23606-3562 | 2014-06-25 |
| 1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
| 1285079640 | Loretta Anne Dicamillo | Nurse Practitioner | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2013-04-30 |
| 1023372679 | Ajay S Rathore | Internal Medicine | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2012-06-28 |
| 1083867691 | Riverside Physician Services Inc | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2008-10-28 |
| 1952563454 | Ramchandur Bakhtiani | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2008-06-26 |
| 1942417183 | Melisha Bissram | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2007-05-17 |
| 1285746735 | Rai Care Centers of Virginia I, LLC | Clinic/Center | 739 Thimble Shoals Blvd, Ste 600, Newport News, VA 23606-3562 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764642 | Tylen M Riddick | Technician | 701 Arboretum Way Apt 11, Newport News, VA 23602-9060 | 2019-08-09 |
| 1013488683 | Butler's Empire Home Health Care | Technician | 1244 Garden Dr, Newport News, VA 23607-5953 | 2018-12-07 |
| 1982770780 | Hope In Home Care LLC | Technician | 11835 Rock Landing Dr, Newport News, VA 23606 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841251 | Katie Lynn Owen | Technician | 131 Magnolia Ln, Bluefield, VA 24605-1347 | 2020-11-06 |
| 1093316432 | Hope and Harmony Home Care LLC | Technician | 16909 Takeaway Ln, Dumfries, VA 22026-3028 | 2020-11-03 |
| 1851991962 | Brianna Hall | Technician | 273 Heather St, Falls Mills, VA 24613-9363 | 2020-10-28 |
| 1184238701 | Carlton B Herrera | Technician | 3509 Ethel James Dr, Chesapeake, VA 23323-1249 | 2020-09-01 |
| 1750993994 | John Irving Collins | Technician | 180 Angles Hollow Rd, North Tazewell, VA 24630-8065 | 2020-08-19 |
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1295346765 | Deahua Denise Lavender | Technician | 231 Chalmers Ct, Berryville, VA 22611-1358 | 2020-08-10 |
| 1255940680 | Angela Mizell | Technician | 618 Battery Ave, Suffolk, VA 23434-5914 | 2020-07-31 |
| 1801414198 | Jph Enterprise, LLC Dba Preferred Care At Home of Virginia Beach | Technician | 1520 Stonemoss Ct Ste 101, Virginia Beach, VA 23462-5731 | 2020-07-13 |
| 1487280004 | Tarikawe Ashenafi Daniel | Technician | 4600 Duke St Apt 1525, Alexandria, VA 22304-2513 | 2020-03-15 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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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.