Provider Type Icon

DIVINE CARE SOURCE INC NPI 1437912532


NPI Information

NPI: 1437912532
Provider Name: DIVINE CARE SOURCE INC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
31055 PARROT REEF CT
WESLEY CHAPEL, FL
ZIP 33545
Phone: (478) 305-3019
Get Directions

DIVINE CARE SOURCE INC is a home health in Wesley Chapel, FL. The provider is 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. DIVINE CARE SOURCE INC NPI is 1437912532. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31055 PARROT REEF CT
WESLEY CHAPEL, FL
ZIP 33545-149
Phone: (478) 305-3019

The provider's authorized official is Crystal Roberson .
The authorized official title is President and has the following contact phone number (478) 305-3019.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2251B00000XCase ManagementNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4253Z00000XIn Home Supportive CareNo
5310400000XAssisted Living FacilityNo
63104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
73104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
8311ZA0620XCustodial Care FacilityAdult Care HomeNo
9322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
10385H00000XRespite CareNo
11385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
12385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
13385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
14251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.