DIVINE HEALTH HOME CARE AGENCY, INC. (NPI# 1730583154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730583154 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTH HOME CARE AGENCY, INC. |
| Practice Address |
9707 Traver St Mitchellville MD 20721-1867 |
| Practice Telephone | 2024000849 |
| Practice Fax Number | 8664054896 |
| Mailing Telephone | 2024000849 |
| Mailing Fax Number | 8664054896 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MARY ANDREWS (PRESIDENT) |
| Authorized Official Telephone | 2024000849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
9707 TRAVER ST |
| City | MITCHELLVILLE |
| State | MD |
| Zip Code | 20721-1867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144584715 | Mary Andrews | Registered Nurse | 9707 Traver St, Mitchellville, MD 20721-1867 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| 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 |
|---|---|---|---|---|
| 1326427949 | Blessed Angels Home Healthcare Services LLC | Home Health | 1806 Saint Georges Way, Mitchellville, MD 20721-2298 | 2015-05-28 |
| 1821239013 | J.d. Ahren Home Healthcare Advantage | Home Health | 914 Lake Front Dr, Mitchellville, MD 20721-2950 | 2009-03-17 |
| 1629230222 | Fograce Healthcare, Inc | Home Health | 3203 Shortridge Ln, Mitchellville, MD 20721-2574 | 2008-06-26 |
| 1124140363 | Cornerstone Rehabilitation and Wellness | Home Health | 1106 Kingsdale Ct, Mitchellville, MD 20721-2019 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356232 | Compassionate Hearts Health Care, LLC | Home Health | 12806 Glasgow Ct, Fort Washington, MD 20744-7034 | 2020-11-06 |
| 1396345302 | Jfm Optima Care, LLC | Home Health | 14653 Argos Pl, Upper Marlboro, MD 20774-8612 | 2020-10-28 |
| 1245839877 | Adaptive Life and Wellness LLC | Home Health | 14204 Marlborough Dr, Upper Marlboro, MD 20772-2813 | 2020-10-24 |
| 1598364036 | Strong Tower Home Health Services, LLC | Home Health | 24218 Arena Stage Ct, Damascus, MD 20872-2189 | 2020-10-24 |
| 1225637176 | Hoping Heart Home Healthcare | Home Health | 7967 Pipers Path, Glen Burnie, MD 21061-6239 | 2020-10-21 |
| 1548869696 | Albeniz Care Agency, LLC | Home Health | 2002 Tuscarora Valley Ct, Frederick, MD 21702-7900 | 2020-10-20 |
| 1548868300 | Universal Home Assistance LLC | Home Health | 6215 64th Ave Apt 4, Riverdale, MD 20737-2943 | 2020-10-14 |
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1376141267 | Goshen Health Care Services LLC | Home Health | 15305 Beaufort Pl, Silver Spring, MD 20905-4203 | 2020-10-13 |
| 1083212153 | Dependable Care | Home Health | 1114 Muskogee Ln, Lusby, MD 20657-3529 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | MITCHELLVILLE |
| Zip Code | 20721 |
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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.