DIVINE FAMILY CARE LLC
NPI 1891107231
Intermediate Care Facility, Intellectual Disabilities in Citrus Heights, CA

Active since May 20, 2014
8194 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610(916) 600-7989 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Divine Family Care Llc NPPES

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

DIVINE FAMILY CARE LLC (NPI 1891107231) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Citrus Heights, California and active in the NPI registry since May 2014. The organization lists Georgenia Chiegeonu Aka, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891107231
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDIVINE FAMILY CARE LLC
Location Address8194 SUNRISE BLVDCitrus Heights, CA 95610-1535
Mailing Address8194 Sunrise BlvdCitrus Heights, CA 95610-1535 · (916) 600-7989
Organization SubpartNo
Authorized OfficialGeorgenia Chiegeonu AkaAdministrator · (916) 600-7989
Enumeration DateMay 20, 2014
NPI 1891107231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
8194 SUNRISE BLVD, Citrus Heights, CA 95610

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 05D1092873

Divine Family Care, LLC · Citrus Heights, CA
Expired · Jul 27, 2026
CLIA Number05D1092873
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorHung G. Hoang, MD
Laboratory Phone(916) 600-7989
Laboratory LocationDivine Family Care, LLC8194 Sunrise Blvd, Citrus Heights, CA 95610
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Care LLC's NPI number?

The NPI number for Divine Family Care LLC is 1891107231. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Divine Family Care LLC located?

Divine Family Care LLC is located at 8194 Sunrise Blvd, Citrus Heights, CA 95610. The listed phone number is (916) 600-7989.

What is Divine Family Care LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Divine Family Care LLC was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.