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DIVINE HOME HEALTH CARE INC
NPI 1407366685
Home Health in Vancouver, WA

Active since October 02, 2017CLIA 50D2142252 · Waiver
4555 NE 66TH AVE, VANCOUVER, WA 98661(360) 314-2561(360) 314-2943 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Home Health Care Inc NPPES

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

DIVINE HOME HEALTH CARE INC (NPI 1407366685) is a healthcare organization registered as a home health in Vancouver, Washington and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Marlene Debra Jones, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1407366685
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINE HOME HEALTH CARE INC
Location Address4555 NE 66TH AVEVancouver, WA 98661-3181
Mailing Address1118 20th AveLongview, WA 98632-2222 · (360) 747-7716
Phone(360) 314-2561
Fax(360) 314-2943
Organization SubpartNo
Authorized OfficialMarlene Debra JonesOwner/partner · (360) 747-7716
Enumeration DateOctober 2, 2017
✔ NPI 1407366685 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.
4555 NE 66TH AVE, Vancouver, WA 98661
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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 50D2142252

Divine Home Health Care · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2142252
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 8, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMary Urban
Laboratory Phone(360) 314-6000
Laboratory LocationDivine Home Health Care4555 NE 66th Ave, Vancouver, WA 98661
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 3

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

ALENA MAZURINA
Licensed Practical Nurse
4555 NE 66TH AVE
VANCOUVER, WA 98661
Clark County (360) 314-6000
MARY SUZANNE URBAN RN
Registered Nurse (Home Health)
4555 NE 66TH AVE
VANCOUVER, WA 98661
Clark County (360) 314-6000
RC HOME CARE SERVICES, INC.
Home Health
4555 NE 66TH AVE
VANCOUVER, WA 98661
Clark County (360) 314-2561

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 Home Health Care Inc's NPI number?

The NPI number for Divine Home Health Care Inc is 1407366685. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Divine Home Health Care Inc located?

Divine Home Health Care Inc is located at 4555 NE 66th Ave, Vancouver, WA 98661. The listed phone number is (360) 314-2561.

What is Divine Home Health Care Inc's specialty?

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

Does Divine Home Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2142252) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Home Health Care Inc was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.