DIVINE HEALING SENIOR & DISABLED SERVICES LLC (NPI# 1679194237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679194237 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALING SENIOR & DISABLED SERVICES LLC |
| Practice Address |
910 Se 1st St Havana FL 32333-2203 |
| Practice Telephone | 8502747104 |
| Practice Fax Number | 2397851707 |
| Mailing Telephone | 8502747104 |
| Mailing Fax Number | 2397851707 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | DECORKUS ALLEN (CEO) |
| Authorized Official Telephone | 8502747104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Decorkus V Allen | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 Gay St, Havana, FL 323331646 | 8502747104 | |
| 910 Se 1st St, Havana, FL 323332203 | 8502747104 | 2397851707 |
| Street Address |
910 SE 1ST ST |
| City | HAVANA |
| State | FL |
| Zip Code | 32333-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831628270 | Teaeski Maynor | Homemaker | 609 Ne 3rd St., Havana, FL 32333 | 2017-06-08 |
| 1285057109 | Jessie Debron | Contractor | 919 Sw 4th St, Havana, FL 32333 | 2014-01-29 |
| 1881630127 | Marsha Perkins Hunter | Contractor | 905 General St, Havana, FL 32333 | 2006-06-22 |
| 1225449747 | Shalonda Murphy | Dental Hygienist | 604 E 5th Ave, Havana, FL 32333-1442 | 2014-05-19 |
| 1144212127 | Diana Lee Florin | Nurse Practitioner | 602 E 5th Ave, Havana, FL 32333-1442 | 2005-08-17 |
| 1952816225 | Neighborhood Medical Center | Clinic/Center | 604 E 5th Ave, Havana, FL 32333-1442 | 2017-12-08 |
| 1003357351 | Latoya Shemia Butler | Dentist | 604 E 5th Ave, Havana, FL 32333-1442 | 2017-03-19 |
| 1205247723 | Natasha Edwards | Dental Assistant | 604 E 5th Ave, Havana, FL 32333-1442 | 2014-05-19 |
| 1487768511 | Mark A. Newberry | Family Medicine | 602 E 5th Ave, Havana, FL 32333-1442 | 2006-08-18 |
| 1306146436 | Corey Williams | Registered Nurse | 106 Se 1st St, Havana, FL 32333-1606 | 2010-10-22 |
| Find all providers in zip 32333 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812151 | Blessed Ones Home Care Agency LLC | In Home Supportive Care | 335 Highland Rd, Havana, FL 32333-4426 | 2020-08-19 |
| 1396233763 | Decorkus Allen | In Home Supportive Care | 211 Gay St, Havana, FL 32333-1646 | 2018-05-01 |
| 1457752057 | Wisdom Homemaker & Companion Services | In Home Supportive Care | 1747 Fl Ga Hwy, Havana, FL 32333-4591 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
| 1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
| 1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
| 1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
| 1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
| 1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
| 1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
| 1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.