MEDICARE: J&T DIVINE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	3747A0650X	Attendant Care Provider
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568334308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&T DIVINE CARE

Provider Business Mailing Address
First Line	:	499 N STATE ROAD 434 STE 2069
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1006
Country	:	US
Telephone Number	:	407-756-9492
Fax Number	:	352-729-2210

Provider Business Practice Location Address
First Line	:	499 N STATE ROAD 434 STE 2069
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1006
Country	:	US
Telephone Number	:	407-756-9492
Fax Number	:	352-729-2210

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TESICA BARNES
Credential	:
Telephone Number	:	407-756-9492

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	12/02/2025

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Directions to “J&T DIVINE CARE ” Practice Location

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