DIVINITY HEALTHCARE SERVICES PLLC (NPI# 1770995219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770995219 |
| Entity Type | Organization |
| Organization Name | DIVINITY HEALTHCARE SERVICES PLLC |
| Other Organization Name | DIVINITY |
| Practice Address |
620 S Elder St Nampa ID 83686-5212 |
| Practice Telephone | 2085462051 |
| Practice Fax Number | 2083297001 |
| Mailing Telephone | 2085462051 |
| Mailing Fax Number | 2083297001 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | MR. JEFFREY DONALD ROBERTS (OWNER) |
| Authorized Official Telephone | 2085462051 |
| Authorized Official Credential | LPN, WCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | ID | Managed Care Organizations | |
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Divinity | Doing Business As Name - Organization |
| Street Address |
620 S ELDER ST |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497162986 | Jeffrey Roberts | Licensed Practical Nurse | 620 S Elder St, Nampa, ID 83686-5212 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1730694464 | All for U Home Care | Home Health | 205 11th Ave N, Nampa, ID 83687-3949 | 2017-12-04 |
| 1841749462 | Avamere Home Health Care, LLC | Home Health | 3904 E Flamingo Ave Ste 100, Nampa, ID 83687-3144 | 2016-09-23 |
| 1083045132 | Assisting Hands Home Care - Boise, LLC | Home Health | 5700 E Franklin Rd Ste 105, Nampa, ID 83687-7900 | 2013-11-27 |
| 1962658708 | Tda Inc | Home Health | 524 E Locust Ln, Nampa, ID 83686-8415 | 2008-08-12 |
| 1316104367 | All Valley Home Care Inc | Home Health | 321 2nd St S, Suite 101, Nampa, ID 83651-3764 | 2008-05-19 |
| 1407059736 | Matrgie Eloise Prickett | Home Health | 47 N Kings Rd, Nampa, ID 83687-3652 | 2007-06-06 |
| 1588717458 | Above and Beyond Home Health Care | Home Health | 321 2nd St S Ste 102, Nampa, ID 83651-3767 | 2007-01-22 |
| 1801884374 | Guardian Home Care, Inc. | Home Health | 16151 N Brinson St, Nampa, ID 83687-5509 | 2005-10-10 |
| 1659861227 | Allegiant Health LLC | Home Health | 210 12th Ave Rd, Nampa, ID 83686-5013 | 2018-05-18 |
| 1104827880 | Saint Alphonsus Medical Center Nampa | Home Health | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2005-08-03 |
| Find all providers in NAMPA | ||||
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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.