1295111045 NPI number — DIVINE CARE

Table of content: (NPI 1295111045)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295111045 NPI number — DIVINE CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIVINE CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295111045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1289 BIG HORN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREEMAN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23856-2224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-731-8584
Provider Business Mailing Address Fax Number:
434-848-2659

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
304 B NEW STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23856-2224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-848-2659
Provider Business Practice Location Address Fax Number:
434-848-2659
Provider Enumeration Date:
08/04/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COLEMAN
Authorized Official First Name:
JACQUELINE
Authorized Official Middle Name:
Authorized Official Title or Position:
0WNER
Authorized Official Telephone Number:
804-731-8584

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)