DIVINE HOME HEALTH GROUP, INC (NPI# 1972988293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972988293 |
| Entity Type | Organization |
| Organization Name | DIVINE HOME HEALTH GROUP, INC |
| Practice Address |
6107 Memorial Hwy Suite B Tampa FL 33615 |
| Mailing Address |
3980 Tampa Road Suite 205h Oldsmar FL 34677 |
| Practice Telephone | 8138903400 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | GELYS GONGORA (PRESIDENT) |
| Authorized Official Telephone | 8138903400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
6107 MEMORIAL HWY SUITE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024904 | Luis Nunez | Specialist | 6107 Memorial Hwy, Tampa, FL 33615-4596 | 2005-09-27 |
| 1528501194 | Anytime Lab LLC | Clinical Medical Laboratory | 6107 Memorial Hwy, Suite E2, Tampa, FL 33615-4596 | 2016-11-29 |
| 1861885519 | Ax Medical Services Inc | Clinic/Center | 6107 Memorial Hwy, Ste E-5a, Tampa, FL 33615-4596 | 2015-03-05 |
| 1962895607 | U Medicalservices Inc | Clinic/Center | 6107 Memorial Hwy, Ste E-5a, Tampa, FL 33615-4596 | 2015-03-05 |
| 1720286396 | Luis Nunez Md Pa | Point of Service | 6107 Memorial Hwy, Tampa, FL 33615-4596 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| 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 |
|---|---|---|---|---|
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1043817539 | Adreaion S Algere | Home Health | 8304 N Hillsborough Ln, Tampa, FL 33604-3531 | 2020-10-07 |
| 1316552078 | Absolute Home Health II LLC | Home Health | 13542 N Florida Ave Ste 112a, Tampa, FL 33613-3206 | 2020-09-10 |
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1013526532 | Holistic Home Health Inc | Home Health | 8316 Hanley Rd Ste 14, Tampa, FL 33634-2284 | 2020-07-30 |
| 1407465131 | Palm Leaves Home Health Care | Home Health | 12094 Anderson Rd # 323, Tampa, FL 33625-5682 | 2020-07-28 |
| 1275141574 | Daneiry Moya | Home Health | 7007 Seabury Ct, Tampa, FL 33615-2958 | 2020-07-22 |
| 1568070035 | Continued Health Services, LLC | Home Health | 8724 N Edison Ave, Tampa, FL 33604-1215 | 2020-07-21 |
| 1275159436 | Absolute Healthcare Services, LLC | Home Health | 12421 N Florida Ave Ste 210, Tampa, FL 33612-4277 | 2020-06-23 |
| Find all providers in TAMPA | ||||
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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.