DIVINE HOMEHEALTH CARE LLC (NPI# 1124637525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124637525 |
| Entity Type | Organization |
| Organization Name | DIVINE HOMEHEALTH CARE LLC |
| Practice Address |
4969 Strathaven Dr Dayton OH 45424-4665 |
| Practice Telephone | 9373691494 |
| Mailing Telephone | 9373691494 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | ELVIS TUMASANG (OWNER) |
| Authorized Official Telephone | 9373691494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4969 STRATHAVEN DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45424-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402409 | Julie Ann Robinson | Case Manager/Care Coordinator | 7502 Mount Whitney, Huber Heights, OH 45424 | 2018-10-04 |
| 1275061103 | Thalia Duncan-alexander | Rehabilitation Counselor | 5414 Quisenberry Dr., Dayton, OH 45424 | 2017-05-23 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1942736111 | Jessica Winkler | Registered Nurse | 1771 Old Palmer Road Nw, Washington Court House, OH 45424 | 2017-05-10 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1124471545 | Jeffrey Penny | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2016-07-20 |
| 1619344330 | Tamika Nicole Wood | Home Health Aide | 5602 Troy Villa Blvd, Huber Heights, OH 45424 | 2015-08-28 |
| 1730505983 | Stephanie D. Bihn | Speech-Language Pathologist | 5954 Longford Road, Huber Heights, OH 45424 | 2014-03-12 |
| 1003248170 | Federated Medical Supplies, LLP | Durable Medical Equipment & Medical Supplies | 5053 Pepper Dr., Dayton, OH 45424 | 2013-07-31 |
| 1710200431 | William D Folk | Pharmacist | 5045 Heather Way, Dayton, OH 45424 | 2010-03-09 |
| Find all providers in zip 45424 | ||||
| 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 |
|---|---|---|---|---|
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1932708567 | Gladys Roach | Home Health | 2333 Valley Pike, Dayton, OH 45404-2545 | 2020-10-24 |
| 1083212112 | Marsha A Waters-walker | Home Health | 4524 Broadbush Dr, Dayton, OH 45426-1908 | 2020-10-12 |
| 1417563248 | Care From The Heart LLC | Home Health | 3335 Stanley Ave Ste B, Dayton, OH 45404-2005 | 2020-09-17 |
| 1992310429 | Latoya Jones | Home Health | 4531 Sylvan Dr, Dayton, OH 45417-1260 | 2020-09-11 |
| 1871108449 | Dependable Care Traveling Np LLC | Home Health | 33 Dayton Ave, Dayton, OH 45402-6402 | 2020-09-10 |
| 1598379448 | Kelvin Afful | Home Health | 1715 Springfield St, Dayton, OH 45403-1431 | 2020-09-08 |
| 1063026722 | Stevenson Pinnacle Health Services LLC | Home Health | 61 Drake Ave Apt A, Dayton, OH 45405-4120 | 2020-09-01 |
| 1750993812 | Pauleah A Davis | Home Health | 5011 W Hillcrest Ave, Dayton, OH 45406-1222 | 2020-08-20 |
| 1447860986 | Light Reign | Home Health | 5027 Brock Ln, Dayton, OH 45415-3429 | 2020-08-07 |
| Find all providers in DAYTON | ||||
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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.