1. Home
  2. Directory
  3. Maryland
  4. Severn
  5. Nurse Practitioner
  6. NPI Profile

DIVINE HEALTHCARE
NPI 1003433079
Nurse Practitioner - Family in Severn, MD

Active since June 25, 2020
1778 GRANDE VIEW AVE, SEVERN, MD 21144(410) 551-5849(410) 551-0685 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Jun 25, 2020 (2 updates tracked since 2020).

About Divine Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE HEALTHCARE (NPI 1003433079) is a healthcare organization registered as a family in Severn, Maryland and active in the NPI registry since June 2020. The organization lists Abimbola Hillard, President, as its authorized official.

NPPES Registry Identity

NPI1003433079
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVINE HEALTHCARE
Location Address1778 GRANDE VIEW AVESevern, MD 21144-3333
Mailing Address1778 Grande View AveSevern, MD 21144-3333 · (410) 551-5849 · Fax (410) 551-0685
Phone(410) 551-5849
Fax(410) 551-0685
Organization SubpartNo
Authorized OfficialAbimbola HillardPresident · (240) 501-8616
Enumeration DateJune 25, 2020
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
✔ NPI 1003433079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1778 GRANDE VIEW AVE, Severn, MD 21144
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BTA MEDICAL SERVICES LLC
Clinic/Center (Primary Care)
1778 GRANDE VIEW AVE
SEVERN, MD 21144
Anne Arundel County (240) 501-8616
MS. ABIMBOLA HILLARD FNP-BC, PMHNP
Nurse Practitioner (Family)
1778 GRANDE VIEW AVE
SEVERN, MD 21144
Anne Arundel County (240) 501-8616
BTA MEDICAL SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1778 GRANDE VIEW AVE
SEVERN, MD 21144
Anne Arundel County (240) 501-8616
DIVINE HEALTHCARE
Clinic/Center (Mental Health (Including Community Mental Health Center))
1778 GRANDE VIEW AVE
SEVERN, MD 21144
Anne Arundel County (410) 551-5849

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Healthcare's NPI number?

The NPI number for Divine Healthcare is 1003433079. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Divine Healthcare located?

Divine Healthcare is located at 1778 Grande View Ave, Severn, MD 21144. The listed phone number is (410) 551-5849.

What is Divine Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Divine Healthcare was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.