DIVINE ALTERNATIVE PERSONAL CARE HOME NPI 1407114879

NPI Information

NPI: 1407114879
Provider Name: DIVINE ALTERNATIVE PERSONAL CARE HOME
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1728 RICE SQ
LITHONIA, GA
ZIP 30058
Phone: (404) 981-4056
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DIVINE ALTERNATIVE PERSONAL CARE HOME is a point of service in Lithonia, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DIVINE ALTERNATIVE PERSONAL CARE HOME NPI is 1407114879. The provider is registered as an organization entity type.

The provider's business location address is:

1728 RICE SQ
LITHONIA, GA
ZIP 30058-257
Phone: (404) 981-4056

The provider's authorized official is La Tanya Lester-hayes .
The authorized official title is Ceo and has the following contact phone number (404) 981-4056.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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