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DIVINE CARE SERVICES, LLC
NPI 1225613656
Nurse Practitioner - Family in Rockville, MD

Active since March 17, 2021CLIA Certified · 2 labs
30 COURTHOUSE SQ STE G1, ROCKVILLE, MD 20850(301) 966-7610(301) 966-7611 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2024, Oct 12, 2023, Mar 17, 2021 (3 updates tracked since 2021).

About Divine Care Services, Llc NPPES

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

DIVINE CARE SERVICES, LLC (NPI 1225613656) is a healthcare organization registered as a family in Rockville, Maryland and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates and lists Nkechi Ileka-adeoye, Owner, as its authorized official.

NPPES Registry Identity

NPI1225613656
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVINE CARE SERVICES, LLC
Location Address30 COURTHOUSE SQ STE G1Rockville, MD 20850-2302
Mailing Address174 Thomas Johnson Dr Ste 203lFrederick, MD 21702-4423 · (301) 966-7610 · Fax (301) 966-7611
Phone(301) 966-7610
Fax(301) 966-7611
Organization SubpartNo
Authorized OfficialNkechi Ileka-adeoyeOwner · (301) 523-7456
Enumeration DateMarch 17, 2021
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1225613656 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
30 COURTHOUSE SQ STE G1, Rockville, MD 20850
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Other Identifiers 1

Medicaid824702100MD

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 2

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 21D2300520

Divine Care Services LLC · Frederick, MD
Active · expires Mar 11, 2028
CLIA Number21D2300520
Laboratory TypePractitioner Other
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorNkechi I. Ileka-Adeoye
Laboratory Phone(301) 966-7610
Laboratory LocationDivine Care Services LLC170 Thomas Johnson Dr #201l, Frederick, MD 21702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2292933

Divine Care Services LLC · Rockville, MD
Active · expires Oct 31, 2027
CLIA Number21D2292933
Laboratory TypePractitioner Other
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorNkechi Ileka-Adeoye
Laboratory Phone(301) 966-7610
Laboratory LocationDivine Care Services LLC30 Courthhouse Sq Suite G1, Rockville, MD 20850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Care Services, LLC's NPI number?

The NPI number for Divine Care Services, LLC is 1225613656. It was assigned to this organization in the NPPES registry on March 17, 2021.

Where is Divine Care Services, LLC located?

Divine Care Services, LLC is located at 30 Courthouse Sq Ste G1, Rockville, MD 20850. The listed phone number is (301) 966-7610.

What is Divine Care Services, LLC's specialty?

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

Does Divine Care Services, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Divine Care Services, LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.