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DIVINE SUPPORTS SERVICES
NPI 1669924866
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Drexel Hill, PA

Active since November 04, 2016
3954 STRATFORD RD, DREXEL HILL, PA 19026(484) 358-5535 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2017, Nov 4, 2016 (2 updates tracked since 2016).

About Divine Supports Services NPPES

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

DIVINE SUPPORTS SERVICES (NPI 1669924866) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Drexel Hill, Pennsylvania and active in the NPI registry since November 2016. The organization lists Olufunmilayo Balogun-victor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669924866
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameDIVINE SUPPORTS SERVICES
Location Address3954 STRATFORD RDDrexel Hill, PA 19026-2723
Mailing Address3954 Stratford RdDrexel Hill, PA 19026-2723 · (484) 358-5535
Phone(484) 358-5535
Organization SubpartNo
Authorized OfficialOlufunmilayo Balogun-victorCeo · (484) 358-5535
Enumeration DateNovember 4, 2016
Last NPPES UpdateMay 3, 20172 updates tracked since enumeration
✔ NPI 1669924866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in PA · RN600719
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Also ListedNursing CareTaxonomy 251J00000X · License RN600719 (PA)
3954 STRATFORD RD, Drexel Hill, PA 19026
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Other Identifiers 1

Other103220771PA · Odp

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 Supports Services's NPI number?

The NPI number for Divine Supports Services is 1669924866. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Divine Supports Services located?

Divine Supports Services is located at 3954 Stratford Rd, Drexel Hill, PA 19026. The listed phone number is (484) 358-5535.

What is Divine Supports Services's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Divine Supports Services was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.