NPI Code Detail JSON Logo

1164284790 NPI number — DIVINE HOME CARE AND STAFFING SOLUTIONS

NPI Number: 1164284790
Health Care Provider/Practitioner: DIVINE HOME CARE AND STAFFING SOLUTIONS

Information about “1164284790” NPI (DIVINE HOME CARE AND STAFFING SOLUTIONS) exists in 1164284790 in HTML format HTML  |  1164284790 in plain Text format TXT  |  1164284790 in PDF (Portable Document Format) PDF  |  1164284790 in an XML format XML  formats.

NPI Number : 1164284790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164284790",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIVINE HOME CARE AND STAFFING SOLUTIONS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1177 W SOLON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEWITT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48820-8655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-910-3663",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1177 W SOLON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEWITT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48820-8655",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-910-3663",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2024",
    "LastUpdateDate": "01/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PATEL",
    "AuthorizedOfficialFirstName": "ACHAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PRESIDENT",
    "AuthorizedOfficialTelephoneNumber": "517-898-2431",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.