DIVINE CARE (NPI# 1346661949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346661949 |
| Entity Type | Organization |
| Organization Name | DIVINE CARE |
| Practice Address |
2500 W Broadway Louisville KY 40211-1081 |
| Practice Telephone | 5025232347 |
| Mailing Telephone | 5025232347 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |
| Authorized Official Name | DR. KWANE MITCHELL WATSON (OWNER) |
| Authorized Official Telephone | 5025232347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922462852 | Divine Care | Assisted Living Facility | 3418 Upland Dr, Anchorage, AK 99504-4072 | 2016-04-06 |
| 1295111045 | Divine Care | Home Health | 304 B New Street, Lawrenceville, VA 23856-2224 | 2015-08-04 |
| 1881967412 | Divine Care | Case Manager/Care Coordinator | 1111 W Nolana Ave, Mcallen, TX 78504-3747 | 2012-02-13 |
| 1285126193 | Divine Care | Case Manager/Care Coordinator | 2421 Wevok Way, Grayson, GA 30017-4340 | 2018-06-06 |
| 1619347705 | Divine Care | Home Health | 215 Executive Way, 130, Desoto, TX 75115-2396 | 2015-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIVINE CARE ASSISTED LIVING LLC | 3235 Dorithan Rd, Baltimore, MD 21215-7501 |
| System for Award Management (SAM) Entities | DIVINE CARE INC. | 6400 Royal Pointe Dr, West Bloomfield, MI 48322-4803 |
| Oregon Corporations, Companies and Business Names | DIVINE CARE LLC | 1050 Sw 6th Ave, Portland, OR 97204 |
| Washington State Corporations | DIVINE CARE LLC | 1691 Sw Mulberry Pl Apt F302, Oak Harbor, WA 98277-7166 |
| Indiana Business Entities | DIVINE CARE OF INDIANA, LLC | P.o. Box 532491, Indianapolis, IN 46253 |
| Virginia Business Entities | DIVINE CARE RESIDENTIAL SERVICES INC. | 6304 Cheetah Court, Waldorf, Maryland 20603 |
| Street Address |
2500 W BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40211-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754071 | Cheryl T. Adams | Pediatrics | 2500 W Broadway, Suite 200 Attn: Cypress Medical Associates Psc, Louisville, KY 40211-1081 | 2005-07-18 |
| 1063027217 | Khanos LLC | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2020-09-14 |
| 1952817488 | Innate Chiropractic, Pllc | Chiropractor | 2500 W Broadway, Louisville, KY 40211-1081 | 2017-12-20 |
| 1417224619 | Maryana Hilal | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2011-11-16 |
| 1679719066 | Joshua James Mcalpin | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2009-01-06 |
| 1629197892 | Watson Psc Dba West Louisville Dental Center | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2007-03-28 |
| 1427192558 | Reeson Earl Flores | Chiropractor | 2500 W Broadway, Ste 500, Louisville, KY 40211-1194 | 2007-02-20 |
| 1316099500 | Kwane Mitchell Watson | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2007-01-17 |
| 1831241173 | Sherry C. Babbage Melisizwe | Dentist | 2500 W Broadway, Louisville, KY 40211-1081 | 2007-01-17 |
| 1467451054 | John W. Arnett | Internal Medicine | 2500 W Broadway, Louisville, KY 40211-1081 | 2005-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792940 | Kare LLC | Dentist | 2500 W Broadway Ste 500, Louisville, KY 40211 | 2018-06-05 |
| 1265943716 | Practicare Home Care Services, LLC | Nurse Practitioner | 1667 Russell Lee Dr, Louisville, KY 40211 | 2017-10-23 |
| 1518478221 | Latoya Samantha Hall | Counselor | 646 South 36th Street, Louisville, KY 40211 | 2017-10-20 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| 1184770562 | Eta Day Care Center LLC | Case Management | 724 So 44th Street, Louisville, KY 40211 | 2007-01-26 |
| 1871571356 | Alice C Gunnison | Physician Assistant | 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 | 2006-01-05 |
| 1730733783 | Mark A Bush | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-07-29 |
| 1407419237 | Gina M Beckford | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-04-17 |
| 1730694266 | Orchid House, Inc. | Early Intervention Provider Agency | 703 S 31st St, Louisville, KY 40211 | 2017-12-06 |
| Find all providers in zip 40211 | ||||
| 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 |
|---|---|---|---|---|
| 1871137414 | Loving Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9105 Kingdom Way, Louisville, KY 40291-3131 | 2019-11-06 |
| 1245883859 | Community and Family Empowerment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11106 Decimal Dr, Louisville, KY 40299-2440 | 2019-07-23 |
| 1740783679 | Gateway Residential Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4321 Southern Pkwy, Louisville, KY 40214-1583 | 2018-03-16 |
| 1164787958 | Agape Community Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 Wallingford Ln, Louisville, KY 40218-2720 | 2012-07-09 |
| 1578782470 | Tri-generations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11800 Brinley Ave, Suite 101, Louisville, KY 40243-3007 | 2007-04-25 |
| 1821112632 | Day Spring Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3430 Day Spring Ct, Louisville, KY 40213-1061 | 2007-03-19 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1154479392 | Bright Beginnings Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 N 18th St, Louisville, KY 40203-1266 | 2007-01-06 |
| 1255397212 | Meeting Challenges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2210 Goldsmith Ln Ste 122, Louisville, KY 40218-1038 | 2006-04-26 |
| 1992064075 | Guardian Community Living-kentucky, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10503 Timberwood Cir, 116, Louisville, KY 40223-5318 | 2012-05-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40211 |
Please comment or provide details below to improve the information on DIVINE CARE.
| 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.