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DIVINITY HOME HEALTHCARE, LLC
NPI 1093168924
Home Health in Orange Park, FL

Active since July 15, 2016CLIA 10D2121231 · Waiver
1734 KINGSLEY AVE STE 3, ORANGE PARK, FL 32073(904) 900-8073 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Mar 27, 2020, Jul 15, 2016 (3 updates tracked since 2016).

About Divinity Home Healthcare, Llc NPPES

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

DIVINITY HOME HEALTHCARE, LLC (NPI 1093168924) is a healthcare organization registered as a home health in Orange Park, Florida and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through October 31, 2026, maintains 2 additional practice locations, and lists Gert Louis, Ambr, as its authorized official.

NPPES Registry Identity

NPI1093168924
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINITY HOME HEALTHCARE, LLC
Location Address1734 KINGSLEY AVE STE 3Orange Park, FL 32073-4418
Mailing Address3829 Cardinal Oaks CirOrange Park, FL 32065-4251 · (561) 543-1498 · Fax (904) 900-8113
Phone(904) 900-8073
Organization SubpartNo
Authorized OfficialGert LouisAmbr · (561) 543-1498
Enumeration DateJuly 15, 2016
Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1093168924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
1734 KINGSLEY AVE STE 3, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15700 Lake Worth Rd Ste 305BGreenacres, FL 33463-3278 · Phone (561) 909-9027 · Fax (561) 290-6026
Location 21516 Patrick WayGreenacres, FL 33413-3319 · Phone (561) 543-1498

Other Identifiers 1

Medicaid1093168924FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2121231

Divinity Home Healthcare LLC · Orange Park, FL
Active · expires Oct 31, 2026
CLIA Number10D2121231
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorGert J. Louis
Laboratory Phone(904) 900-8073
Laboratory LocationDivinity Home Healthcare LLC2001 Wells Rd, Orange Park, FL 32073
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

COMPMED CARE LLC
Family Medicine
1734 KINGSLEY AVE STE 3
ORANGE PARK, FL 32073
Clay County (904) 373-8542

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 Divinity Home Healthcare, LLC's NPI number?

The NPI number for Divinity Home Healthcare, LLC is 1093168924. It was assigned to this organization in the NPPES registry on July 15, 2016.

Where is Divinity Home Healthcare, LLC located?

Divinity Home Healthcare, LLC is located at 1734 Kingsley Ave Ste 3, Orange Park, FL 32073. The listed phone number is (904) 900-8073.

What is Divinity Home Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Divinity Home Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2121231) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Divinity Home Healthcare, LLC accept?

Health plans from Molina Healthcare list Divinity Home Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divinity Home Healthcare, LLC was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.