DIVINE HOME CARE
NPI 1487054300
Custodial Care Facility - Adult Care Home in Dothan, AL

Q: What is Divine Home Care's NPI number?

The NPI number for Divine Home Care is 1487054300. It was assigned to this organization in the NPPES registry on August 27, 2014.

Q: What is Divine Home Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Divine Home Care was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 27, 2014

802 GRANT ST APT 3, DOTHAN, AL 36301(334) 405-5881 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Divine Home Care NPPES

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

DIVINE HOME CARE (NPI 1487054300) is a healthcare organization registered as an adult care home in Dothan, Alabama and active in the NPI registry since August 2014. The organization lists Derrick O Tiller, Owner, as its authorized official.

NPPES Registry Identity

NPI1487054300

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameDIVINE HOME CARE

Location Address802 GRANT ST APT 3Dothan, AL 36301-3807

Mailing Address802 Grant St Apt 3Dothan, AL 36301-3807 · (334) 405-5881

Phone(334) 405-5881

Organization SubpartNo

Authorized OfficialDerrick O TillerOwner · (334) 405-5881

Enumeration DateAugust 27, 2014

✔ NPI 1487054300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

802 GRANT ST APT 3, Dothan, AL 36301

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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 Care's NPI number?

The NPI number for Divine Home Care is 1487054300. It was assigned to this organization in the NPPES registry on August 27, 2014.

Where is Divine Home Care located?

Divine Home Care is located at 802 Grant St Apt 3, Dothan, AL 36301. The listed phone number is (334) 405-5881.

What is Divine Home Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Divine Home Care was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.