DIVINE PATHWAYS (NPI# 1801310800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801310800 |
| Entity Type | Organization |
| Organization Name | DIVINE PATHWAYS |
| Practice Address |
10111 W Capitol Dr Ste 4 Wauwatosa WI 53222-1335 |
| Mailing Address |
10111 W Capitol Dr Suite 4 Wauwatosa WI 53222 |
| Practice Telephone | 4144615763 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | YOLANDA V JOHNSON (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 4144615763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DIVINE PATHWAYS, INC. | 811 West Jericho Turnpike, Suite 203e, Smithtown, Ny 11787 |
| Street Address |
10111 W CAPITOL DR STE 4 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188348 | Derek J Holmes | Home Health | 10111 W Capitol Dr Ste 8, Wauwatosa, WI 53222-1335 | 2020-06-08 |
| 1912538679 | Premier Personal Care Agency LLC | Home Health | 10520 W Bluemound Rd Ste 105, Suite #105, Wauwatosa, WI 53226-4484 | 2020-01-31 |
| 1346881455 | Blessit Hands Personal Care Agency | Home Health | 7332 W State St # 2, Wauwatosa, WI 53213-2766 | 2019-10-01 |
| 1023582897 | Devoted Personal Care, LLC | Home Health | 9730 W Bluemound Rd Ste 4, Wauwatosa, WI 53226-4463 | 2019-01-15 |
| 1306347158 | Profound Home Health Care | Home Health | 12201 W Burleigh St Ste 10, Wauwatosa, WI 53222-3102 | 2018-02-27 |
| 1730699489 | Living Insight Supportive Services LLC | Home Health | 12201 W North Ave Ste 102b, Wauwatosa, WI 53226-2061 | 2017-10-09 |
| 1588190185 | Living Well Home Health Care | Home Health | 7251 W North Ave Ste 10, Wauwatosa, WI 53213-1851 | 2017-05-03 |
| 1528420247 | Compassionate Personal Care Services,llc | Home Health | 2645 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-1304 | 2016-03-22 |
| 1861852618 | Legacy Home Healthcare LLC | Home Health | 6410 W North Ave, Wauwatosa, WI 53213-2015 | 2016-03-07 |
| 1912371360 | Vanguard Home Health Services LLC | Home Health | 1033 N Mayfair Rd Ste 300, Wauwatosa, WI 53226-3442 | 2015-11-23 |
| Find all providers in WAUWATOSA | ||||
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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.