DIVINE SUPPORTS SERVICES NPI 1669924866

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1669924866 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name DIVINE SUPPORTS SERVICES The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Practice Location Address 3954 STRATFORD RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name DREXEL HILL The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name PA The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 190262723 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 4843585535 The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 11/4/2016 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 5/3/2017 The date that a record was last updated or changed.
Authorized Official Last Name BALOGUN-VICTOR The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name OLUFUNMILAYO The first name of the authorized official.
Authorized Official Title or Position CEO The title or position of the authorized official.
Authorized Official Telephone Number 4843585535 The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1 251J00000X This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1 RN600719 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider License Number State Code 1 PA The last name of the provider. If the provider is an individual, this is the legal name.
Healthcare Provider Primary Taxonomy Switch 1 N The first name of the provider, if the provider is an individual.
Healthcare Provider Taxonomy Code 2 251T00000X The middle name of the provider, if the provider is an individual.
Provider License Number 2 RN600719 The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider License Number State Code 2 PA Other last name by which the provider being identified is or has been known.
Healthcare Provider Primary Taxonomy Switch 2 Y Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
Other Provider Identifier 1 103220771 Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider middle name" if the provider is or has been known by a different last name only.
Other Provider Identifier Type Code 1 01 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Other Provider Identifier State 1 PA The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Other Provider Identifier Issuer 1 ODP The city name in the location address of the provider being identified.
Is Organization Subpart N The State code in the location of the provider being identified.
Authorized Official Credential Text RN The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI