DIVINE HEALTH LLC
NPI 1477420966
Clinic/Center - Primary Care in Fort Washington, MD
About Divine Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE HEALTH LLC (NPI 1477420966) is a healthcare organization registered as a primary care in Fort Washington, Maryland and active in the NPI registry since October 2025. The organization lists Freda Ansah Larbi, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Divine Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health LLC's NPI number?
The NPI number for Divine Health LLC is 1477420966. It was assigned to this organization in the NPPES registry on October 20, 2025.
Where is Divine Health LLC located?
Divine Health LLC is located at 8507 Oxon Hill Rd Ste 200-S50, Fort Washington, MD 20744. The listed phone number is (240) 581-0125.
What is Divine Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Divine Health LLC enrolled in Medicare?
Yes. Divine Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Divine Health LLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Divine Health Llc · NPI 1477420966
Primary Care organization in Fort Washington, Maryland. Organization record, active in the CMS NPPES registry since October 20, 2025.
## Identity
- **NPI:** 1477420966 (Entity type: Organization)
- **Enumerated:** October 20, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Freda Larbi, PROVIDER
## Practice location
- **Address:** 8507 OXON HILL RD STE 200-S50, Fort Washington, MD 20744-4766
- **Phone:** (240) 581-0125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477420966) · Data from the CMS NPPES public registry.