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DIVINE PROVIDENCE INC
NPI 1558824607
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since April 06, 2019
1729 E CHARLESTON BLVD STE F, LAS VEGAS, NV 89104(954) 663-1759 Get Directions Write a Review

NPPES record last updated: April 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Providence Inc NPPES

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

DIVINE PROVIDENCE INC (NPI 1558824607), doing business as Providence Medical Supply, is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since April 2019. The organization lists Modupe Irorobeje, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558824607
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDIVINE PROVIDENCE INC
Location Address1729 E CHARLESTON BLVD STE FLas Vegas, NV 89104-1986
Mailing Address11055 Kilkerran CtLas Vegas, NV 89141-4356 · (954) 663-1759
Phone(954) 663-1759
Organization SubpartNo
Authorized OfficialModupe IrorobejeCeo · (702) 778-3072
Enumeration DateApril 6, 2019
✔ NPI 1558824607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1729 E CHARLESTON BLVD STE F, Las Vegas, NV 89104
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Other Names 1

Doing Business AsProvidence Medical Supply

Other Providers at the Same Location NPPES

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

DIVINE PROVIDENCE INC
Pharmacy (Community/Retail Pharmacy)
1729 E CHARLESTON BLVD STE F
LAS VEGAS, NV 89104
Clark County (702) 778-3072

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 Providence Inc's NPI number?

The NPI number for Divine Providence Inc is 1558824607. It was assigned to this organization in the NPPES registry on April 6, 2019. The provider is doing business as providence medical supply.

Where is Divine Providence Inc located?

Divine Providence Inc is located at 1729 E Charleston Blvd Ste F, Las Vegas, NV 89104. The listed phone number is (954) 663-1759.

What is Divine Providence Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Divine Providence Inc was last updated on April 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.