DIVINE 5 SERVICES, LLC (NPI# 1801384912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801384912 |
| Entity Type | Organization |
| Organization Name | DIVINE 5 SERVICES, LLC |
| Practice Address |
304 E Church St Monroe GA 30655-2508 |
| Practice Telephone | 7702171821 |
| Mailing Telephone | 7702171821 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ELANTE HARRIS (CEO) |
| Authorized Official Telephone | 7702171821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347E00000X | Transportation Broker | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NON-MEDICAL | 824625122 | 01 |
| Street Address |
304 E CHURCH ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584220 | Exceptional Community Services, Inc | Counselor | 304 E Church St, Monroe, GA 30655-2508 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003362534 | Kalman Kaufman | Transportation Broker | 3 Toltchav Way, Unit 201, Monroe, NY 10950-8566 | 2016-08-25 |
| 1033414396 | Empire Mediride Corp. | Transportation Broker | 51 Forest Rd, Ste 316-17, Monroe, NY 10950-2948 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061430 | James R Collier IIi | Transportation Broker | 3620 Silver Springs Way, Powder Springs, GA 30127-9507 | 2020-10-21 |
| 1447879283 | Ride Right Transportation Services LLC | Transportation Broker | 268 Walden Rd, Thomasville, GA 31792-1705 | 2020-04-12 |
| 1639716277 | Usa Netcom, Inc | Transportation Broker | 231 Village Park Dr, Newnan, GA 30265-6259 | 2019-12-03 |
| 1669019352 | Polaris Mobility, Inc. | Transportation Broker | 2184 Park Ave Se, Smyrna, GA 30080-6946 | 2019-12-02 |
| 1265075691 | Great Care Transport Inc | Transportation Broker | 6610 Bay Cir Ste D, Peachtree Corners, GA 30071-1267 | 2019-10-17 |
| 1932740206 | Hark Solutions Inc. | Transportation Broker | 2860 Overlook Trce, Atlanta, GA 30324-7506 | 2019-10-08 |
| 1427617398 | Region 13 Department of Family and Children Sws | Transportation Broker | 95 Constitution Blvd Ste 400, Lawrenceville, GA 30046-5647 | 2019-06-13 |
| 1215596911 | Clarke County Dept of Family and Children Services | Transportation Broker | 196 Ben Burton Cir, Bogart, GA 30622-1790 | 2019-06-07 |
| 1972161032 | Region Iv Department of Family and Children Services | Transportation Broker | 242 Odell Rd Ste 5, Griffin, GA 30224-4879 | 2019-06-04 |
| 1619533395 | Dfcs-region Viii Accounting | Transportation Broker | 1601 North Mlk Jr. Blvd Suite 110, Americus, GA 31719 | 2019-05-17 |
| Find all providers with the same taxonomy | ||||
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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.