Healthcare Provider Details

I. General information

NPI: 1285571612
Provider Name (Legal Business Name): DIVINE HANDS MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E MAIN ST STE 227
WESTMINSTER MD
21157-5034
US

IV. Provider business mailing address

15 E MAIN ST STE 227
WESTMINSTER MD
21157-5034
US

V. Phone/Fax

Practice location:
  • Phone: 443-399-2736
  • Fax: 443-393-9770
Mailing address:
  • Phone: 443-399-2736
  • Fax: 443-393-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELLA MENSAH
Title or Position: CEO/ADMINISTRATOR
Credential: NP
Phone: 443-399-2736