DIVINE HEALTHCARE SERVICES (NPI# 1952840415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952840415 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE SERVICES |
| Practice Address |
60 Evergreen Pl Suite 501 East Orange NJ 07018-9992 |
| Practice Telephone | 9733959501 |
| Practice Fax Number | 9733959502 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MS. STELLA OBIDIGBO (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 9733959501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HP0106600 | NJ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303384 | Divine Healthcare Services | Home Health | 60 Evergreen Pl Ste 501, East Orange, NJ 07018-2118 | 2019-06-04 |
| 1881152619 | Divine Healthcare Services | Day Training, Developmentally Disabled Services | 8222 Northview Ct, Laurel, MD 20707-5880 | 2019-03-11 |
| 1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIVINE HEALTHCARE SERVICES, LLC | 60 Evergreen Pl Ste 501, East Orange, NJ 07018-2118 |
| Street Address |
60 EVERGREEN PL SUITE 501 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-9992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861442535 | Pharmacy of America | Pharmacy | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2006-05-11 |
| 1376813493 | Sherree Lynn Pecci | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2012-01-05 |
| 1285928457 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2011-06-06 |
| 1245535699 | Julia Del Carmen Aleman | Social Worker | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2011-01-17 |
| 1326342189 | Margaret Holanov | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2011-01-07 |
| 1790088524 | Michelle D Anderson | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2010-12-16 |
| 1326368267 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2010-06-02 |
| 1457671372 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2010-06-02 |
| 1255663407 | Youth Consultation Service Inc | Community/Behavioral Health | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2010-02-12 |
| 1356673206 | Youth Consultation Service Inc | Community/Behavioral Health | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| 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 |
|---|---|---|---|---|
| 1235784158 | 4tees Community Resources LLC | Home Health | 70 Long St, East Orange, NJ 07017-1208 | 2019-08-07 |
| 1689236689 | Goshen Healthcare Services LLC | Home Health | 82 Woodland Ave, East Orange, NJ 07017-2006 | 2019-07-01 |
| 1396303384 | Divine Healthcare Services | Home Health | 60 Evergreen Pl Ste 501, East Orange, NJ 07018-2118 | 2019-06-04 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1508377318 | Supreme Home Health Care Agency LLC | Home Health | 66 Lincoln St Fl 1, East Orange, NJ 07017-2311 | 2017-10-19 |
| 1841700820 | Nursesvue Careertek Care LLC | Home Health | 134 Evergreen Pl Fl 5, East Orange, NJ 07018-2011 | 2017-10-04 |
| 1619490992 | Holy Hands Enterprises L.l.c | Home Health | 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 | 2017-07-19 |
| 1083154884 | Genesis Health Services LLC | Home Health | 617a Central Ave, East Orange, NJ 07018-1966 | 2017-02-28 |
| 1295193951 | Hands of Angels Healthcare Agencyllc | Home Health | 626 Central Ave Ste 1, East Orange, NJ 07018-1438 | 2016-02-09 |
| 1942691621 | Constant Health Care and Wellness Services | Home Health | 70 Ely Pl, East Orange, NJ 07017-3305 | 2015-02-17 |
| Find all providers in EAST ORANGE | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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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.