Healthcare Provider Details

I. General information

NPI: 1023920824
Provider Name (Legal Business Name): DIVINE COMMUNITY TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MAIN ST BLDG C2
NORTHBOROUGH MA
01532-2132
US

IV. Provider business mailing address

300 W MAIN ST BLDG C2
NORTHBOROUGH MA
01532-2132
US

V. Phone/Fax

Practice location:
  • Phone: 508-466-8030
  • Fax:
Mailing address:
  • Phone: 508-375-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SULAIMAN ABASS KAMARA
Title or Position: OWNER
Credential:
Phone: 508-488-8989