DIVINE HERITAGE, LLC (NPI# 1215486071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215486071 |
| Entity Type | Organization |
| Organization Name | DIVINE HERITAGE, LLC |
| Practice Address |
11911 Pine Forest Dr New Port Richey FL 34654-1462 |
| Mailing Address |
8575 Montravail Cir #737 Temple Terrace FL 33637-3035 |
| Practice Telephone | 8133177991 |
| Mailing Telephone | 6466730044 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | MS. CLARICE THOMAS ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 8133177991 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
11911 PINE FOREST DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34654-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532441 | 11911 Pine Forest Drive, New Port Ritchey 34654 | Clinic/Center | 11911 Pine Forest Dr, New Port Richey, FL 34654-1462 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241345 | Angela Michelle Winn | Nurse Practitioner | 8350 Little Rd Ste 105, New Port Richey, FL 34654 | 2016-08-25 |
| 1306220611 | Darla Stolec | Massage Therapist | 12048 Darwin Avenue, New Port Richey, FL 34654 | 2015-07-16 |
| 1790186849 | Jennifer Davis | Dentist | 8267 Little Rd, New Port Richey, FL 34654 | 2014-09-09 |
| 1649572231 | Gallo House I, Inc. | Assisted Living Facility | 9110 Star Trail, New Port Richey, FL 34654 | 2010-12-02 |
| 1427386705 | Barbara Joyce Miller | Chiropractor | 8709 Newbrook Lane, New Port Richey, FL 34654 | 2009-11-25 |
| 1447493077 | Tamberly Hope Segert | Assistant Behavior Analyst | 7326 Little Rd, New Port Richey, FL 34654 | 2009-04-13 |
| 1528273745 | Tharun Krishnamenon Chittayil | Pharmacist | 12021 Moon Lake Road, Winndixie Pharmacy Store #672, New Port Richey, FL 34654 | 2007-05-11 |
| 1811015571 | Michael C Savignano | Chiropractor | 7136 Little Road, New Port Richey, FL 34654 | 2007-03-27 |
| 1184780504 | Ladislaus J Dubovsky | Counselor | 10854 Telford St, New Port Richey, FL 34654 | 2006-12-29 |
| 1659466787 | Vincent Barth Azzue | Optometrist | 8505 Little Road, New Port Richey, FL 34654 | 2006-10-04 |
| Find all providers in zip 34654 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883028 | Trinity Place Assisted Living LLC | Assisted Living Facility | 8684 Old County Road 54, New Port Richey, FL 34653-6412 | 2020-05-19 |
| 1982089462 | Angels Senior Living In New Port Richey | Assisted Living Facility | 6716 Congress St, New Port Richey, FL 34653-2845 | 2015-07-24 |
| 1265811947 | Rise and Shine Assisted Living Facility | Assisted Living Facility | 3535 Connon Dr, New Port Richey, FL 34652-6287 | 2015-05-27 |
| 1427451574 | Home Sweet Home Assisted Living of New Port Richey | Assisted Living Facility | 5237 Trouble Creek Rd, New Port Richey, FL 34652-4949 | 2014-10-03 |
| 1316353402 | American Well Care LLC | Assisted Living Facility | 6333 Langston Ave, New Port Richey, FL 34653-1014 | 2014-07-09 |
| 1487072575 | Loving In-home Care Inc | Assisted Living Facility | 8365 Cessna Dr, New Port Richey, FL 34654-5119 | 2014-04-04 |
| 1891112298 | Guided Management, Inc. | Assisted Living Facility | 5341 Palmetto Rd, New Port Richey, FL 34652-1716 | 2014-03-24 |
| 1376967133 | Emily C. Villamin | Assisted Living Facility | 6753 Carpel Dr, New Port Richey, FL 34653-4526 | 2014-02-13 |
| 1295179802 | Cinnamon Cove Alf, Inc | Assisted Living Facility | 5641 Montana Ave, New Port Richey, FL 34652-2643 | 2013-04-25 |
| 1639414865 | Lisa M. Degennaro | Assisted Living Facility | 4434 Northampton Dr, New Port Richey, FL 34653-6311 | 2012-11-28 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34654 |
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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.