A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Delivered Meals |
332U00000X | 87 | All Other Suppliers | |
Home Infusion |
251F00000X | |||
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
In Home Supportive Care |
253Z00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Non-emergency Medical Transport (VAN) |
343900000X | |||
Nursing Care |
251J00000X | |||
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency | |
Respite Care |
385H00000X |
| NPI Number | 1992538847 |
| LBN Legal business name | DIVINE WELLCARE SERVICES |
| Authorized official | GEORGE WILLIAM - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/24/2024 |
| Last updated | 08/24/2024 - More than a year ago |
| Identifiers | n/a |
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