Healthcare Provider Details

I. General information

NPI: 1568334308
Provider Name (Legal Business Name): J&T DIVINE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 N STATE ROAD 434 STE 2069
ALTAMONTE SPRINGS FL
32714-1006
US

IV. Provider business mailing address

499 N STATE ROAD 434 STE 2069
ALTAMONTE SPRINGS FL
32714-1006
US

V. Phone/Fax

Practice location:
  • Phone: 407-756-9492
  • Fax: 352-729-2210
Mailing address:
  • Phone: 407-756-9492
  • Fax: 352-729-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: TESICA BARNES
Title or Position: ADMINISTRATOR
Credential:
Phone: 407-756-9492