DIVINE HOMECARE (NPI# 1891045894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891045894 |
| Entity Type | Organization |
| Organization Name | DIVINE HOMECARE |
| Practice Address |
5704 El Rito Ave Nw 13404 Cloudview Ave Ne Albuquerque NM 87105-1140 |
| Mailing Address |
5704 El Rito Ave Nw Albuquerque NM 87105 |
| Practice Telephone | 5052930758 |
| Practice Fax Number | 5052930758 |
| Mailing Telephone | 5052930758 |
| Mailing Fax Number | 5052930758 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | MISS MICHELLE RENEE BENJAMIN (CEO/OWNER) |
| Authorized Official Telephone | 5052930758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
5704 EL RITO AVE NW 13404 CLOUDVIEW AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766096 | Kydae Lamar Jones | In Home Supportive Care | 2301 San Pedro Dr Ne Ste B6, Albuquerque, NM 87110-4119 | 2020-06-29 |
| 1477112423 | Connection Home Care, Inc | In Home Supportive Care | 4811 Hardware Dr Ne Ste B-1, Albuquerque, NM 87109-2021 | 2019-06-12 |
| 1134692064 | A Quality Adult Care LLC | In Home Supportive Care | 9304 Silver Mesa St Nw, Albuquerque, NM 87114-6612 | 2019-01-03 |
| 1548731722 | New Mexico Homecare, LLC | In Home Supportive Care | 6721 Academy Rd Ne Ste C, Albuquerque, NM 87109-3367 | 2018-12-16 |
| 1609352731 | Altruistic Associates of New Mexico LLC | In Home Supportive Care | 7400 Montgomery Blvd Ne Ste 39, Albuquerque, NM 87109-1595 | 2018-07-11 |
| 1538676663 | Tspc-nm, LLC | In Home Supportive Care | 4600 Jefferson Lane Ne, Suite C, Albuquerque, NM 87109-2134 | 2018-01-10 |
| 1235670324 | Caras Personal Care | In Home Supportive Care | 8008 Sand Springs Rd Nw, Albuquerque, NM 87114-6076 | 2017-03-09 |
| 1215313085 | Zhon Home Care Corporation | In Home Supportive Care | 3512 Calle Del Sol Ne, Albuquerque, NM 87106-1229 | 2015-08-04 |
| 1740670942 | We Care Agency, Inc. | In Home Supportive Care | 6200 Seagull St Ne Ste C, Albuquerque, NM 87109-2547 | 2015-01-27 |
| 1689074254 | Wilson Residential Care Services of Nm LLC | In Home Supportive Care | 901 Rio Grande Blvd Nw Ste H260, Albuquerque, NM 87104-2068 | 2014-09-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on DIVINE HOMECARE.
| 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.