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A & S DIVINE HEALTHCARE SERVICES PLLC
NPI 1215519038
Nurse Practitioner - Family in Calumet City, IL

Active since April 21, 2021CLIA 14D2222293 · Waiver
1477 RING RD, CALUMET CITY, IL 60409(708) 933-6346(708) 933-6356 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About A & S Divine Healthcare Services Pllc NPPES

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

A & S DIVINE HEALTHCARE SERVICES PLLC (NPI 1215519038) is a healthcare organization registered as a family in Calumet City, Illinois and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Angel White, Co-owner/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1215519038
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameA & S DIVINE HEALTHCARE SERVICES PLLC
Location Address1477 RING RDCalumet City, IL 60409-5459
Mailing Address1477 Ring RdCalumet City, IL 60409-5459 · (708) 933-6346 · Fax (708) 933-6356
Phone(708) 933-6346
Fax(708) 933-6356
Organization SubpartNo
Authorized OfficialAngel WhiteCo-owner/family Nurse Practitioner · (708) 933-6346
Enumeration DateApril 21, 2021
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1215519038 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
1477 RING RD, Calumet City, IL 60409
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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

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 14D2222293

A & S Divine Healthcare · Calumet City, IL
Active · expires Apr 27, 2027
CLIA Number14D2222293
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorAngel D. White
Laboratory Phone(708) 253-9030
Laboratory LocationA & S Divine Healthcare1477 Ring Rd, Calumet City, IL 60409
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ANGEL WHITE DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1477 RING RD
CALUMET CITY, IL 60409
Cook County (708) 933-6346
PIERSON MEDICAL GROUP INC
Specialist
1477 RING RD
CALUMET CITY, IL 60409
Cook County (708) 868-3309

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 A & S Divine Healthcare Services PLLC's NPI number?

The NPI number for A & S Divine Healthcare Services PLLC is 1215519038. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is A & S Divine Healthcare Services PLLC located?

A & S Divine Healthcare Services PLLC is located at 1477 Ring Rd, Calumet City, IL 60409. The listed phone number is (708) 933-6346.

What is A & S Divine Healthcare Services PLLC's specialty?

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

Does A & S Divine Healthcare Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2222293) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for A & S Divine Healthcare Services PLLC was last updated on November 16, 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.