DIVINE CARE HEALTH STAFFING LLC (NPI# 1447633219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447633219 |
| Entity Type | Organization |
| Organization Name | DIVINE CARE HEALTH STAFFING LLC |
| Practice Address |
170 Bergen Ave Ste B New Milford NJ 07646-2806 |
| Mailing Address |
3412 Bluestone Ln East Stroudsburg PA 18301-8116 |
| Practice Telephone | 2019526420 |
| Practice Fax Number | 8778474997 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | OSAHON AGUEBOR (OWNER) |
| Authorized Official Telephone | 2019526420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 641056 | NJ | Suppliers |
| Street Address |
170 BERGEN AVE STE B |
| City | NEW MILFORD |
| State | NJ |
| Zip Code | 07646-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407574 | Dorothy Vanslyke | Nurse Practitioner | 811 B Columbia St., New Milford, NJ 07646 | 2015-01-21 |
| 1902190234 | Denise Corcoran | Speech-Language Pathologist | 142 Seminole Ave, New Milford, NJ 07646 | 2011-06-03 |
| 1104088616 | Michelle Moresca Armedilla | Physical Therapist | 229 Linden Place, New Milford, NJ 07646 | 2008-06-26 |
| 1063579647 | Noam Kranz | Dentist | 140 Henley Ave, New Milford, NJ 07646 | 2007-01-02 |
| 1346308087 | Zenaida P Doiranlis | Internal Medicine | 985 River Road, New Milford, NJ 07646 | 2006-12-05 |
| 1891889002 | Naumov Chiropractic LLC | Chiropractor | 717 Princeton Str, New Milford, NJ 07646 | 2006-10-03 |
| 1396766101 | Emelina J Goyco | Pediatrics | 140 Henley Avenue, New Milford, NJ 07646 | 2006-07-21 |
| 1386643062 | 800 River Road Operating Company, LLC | Skilled Nursing Facility | 800 River Road, New Milford, NJ 07646 | 2005-07-15 |
| 1285062794 | Jeffrey Sedor | Dentist | 654 River Rd, New Milford, NJ 07646 | 2013-10-18 |
| 1548554876 | Donna L. Corcoran | Speech-Language Pathologist | 142 Seminole Ave, New Milford, NJ 07646 | 2011-06-03 |
| Find all providers in zip 07646 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154812949 | Emergency Mobile Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 S Michigan Ave, Kenilworth, NJ 07033-1739 | 2018-05-29 |
| 1972007334 | Triton Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 Ivy Ln, Tenafly, NJ 07670-2410 | 2018-03-21 |
| 1053742874 | Pdi Health LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 River St Ste 9, Hoboken, NJ 07030-5990 | 2013-12-04 |
| 1508119660 | Sigl LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11-06 Fair Lawn Ave, Fair Lawn, NJ 07410-2228 | 2012-10-25 |
| 1346596418 | Mes Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Wood Ave S, Suite 110, Iselin, NJ 08830-2727 | 2012-07-26 |
| 1083974984 | Image Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kennedy Boulevard, East Brunswick, NJ 08816 | 2012-05-24 |
| 1417268004 | Reliant Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Winston Dr Apt 2811, Cliffside Park, NJ 07010-3231 | 2010-06-29 |
| 1912138629 | Care Diagnostics Limited Liability Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 180 Park Ave S, Lakewood, NJ 08701-3556 | 2009-07-29 |
| 1225268600 | Cardiovascular Onsite Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Hancock Ct, Plainsboro, NJ 08536 | 2009-07-21 |
| 1073742623 | Mds Digital Xray Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 862 Newark Ave, Ste 103, Jersey City, NJ 07306-5162 | 2009-07-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW MILFORD |
| Zip Code | 07646 |
Please comment or provide details below to improve the information on DIVINE CARE HEALTH STAFFING LLC.
| 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.