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DIVINE VISION SUPPORT SERVICES INC. NPI 1578863817


NPI Information

NPI: 1578863817
Provider Name: DIVINE VISION SUPPORT SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1010 E ADAMS ST
227
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 396-6745
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DIVINE VISION SUPPORT SERVICES, INC. is a home health in Jacksonville, 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 VISION SUPPORT SERVICES, INC. NPI is 1578863817. The provider is registered as an organization entity type.

The provider's business location address is:

1010 E ADAMS ST
227
JACKSONVILLE, FL
ZIP 32202-902
Phone: (904) 396-6745
Fax: (888) 398-0944

The provider's authorized official is Carrie Lee Garrett .
The authorized official title is Director and has the following contact phone number (904) 398-7645.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 11/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health1000014359FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1688070396MEDICAIDFLORIDA
2688070398MEDICAIDFLORIDA

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: 4/28/2024

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