DIVINE CONNECT CARE INC (NPI# 1215356969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215356969 |
| Entity Type | Organization |
| Organization Name | DIVINE CONNECT CARE INC |
| Practice Address |
3115 Georgia Ave Nw Washington DC 20010-2901 |
| Mailing Address |
3115 Georgia Ave Nw Ste 4 Washington DC 20010-2901 |
| Practice Telephone | 2022412723 |
| Mailing Telephone | 2022412723 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | FELICIA EKESON (PRESIDENT) |
| Authorized Official Telephone | 2022412723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400312001725 | DC | Residential Treatment Facilities |
| Street Address |
3115 GEORGIA AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174810287 | Comfort Dupe Bogunjoko | Registered Nurse | 3115 Georgia Ave Nw, Suite 3, Washington, DC 20010-2901 | 2011-07-09 |
| 1326576596 | Guardian Professional Services | Case Management | 3115 Georgia Ave Nw, Washington, DC 20010-2901 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202271 | Berkeley House Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 817 Elder St Nw, Washington, DC 20012-2323 | 2020-10-09 |
| 1003451873 | Petra Jua | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2205 16th St Se, Washington, DC 20020-4333 | 2019-11-15 |
| 1396202511 | Umbrella Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 Georgia Ave Nw, Washington, DC 20001-3000 | 2019-02-24 |
| 1184180408 | N2 Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Washington Square Cir, Washington, NJ 07882-2486 | 2019-02-11 |
| 1871074567 | Community Empowerment Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 64 New York Ave Ne Ste 100, Washington, DC 20002-3400 | 2018-08-22 |
| 1760989917 | Innovative Life Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Frankford St Se, Washington, DC 20020-6309 | 2018-04-12 |
| 1780196915 | Empowering Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 S St Nw, Washington, DC 20001-1128 | 2017-10-27 |
| 1942729694 | Human Development Coalition | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Parkland Pl Se, Washington, DC 20032-1601 | 2017-09-13 |
| 1760900633 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Whites Rd, Washington, NJ 07882-3614 | 2017-08-31 |
| 1841718681 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 Park Ave Apt G2, Washington, NJ 07882-1847 | 2017-08-31 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.