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DIVINE MED SPA & CLINIC
NPI 1922858042
Nurse Practitioner - Family in Cooper City, FL

Active since March 22, 2024CLIA 10D2298252 · Waiver
8684 GRIFFIN RD, COOPER CITY, FL 33328(954) 856-2364(954) 766-1819 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Divine Med Spa & Clinic NPPES

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

DIVINE MED SPA & CLINIC (NPI 1922858042) is a healthcare organization registered as a family in Cooper City, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Adeline Pierre, Owner, as its authorized official.

NPPES Registry Identity

NPI1922858042
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMPASSIONATE HEALTH CENTER LLC
Location Address8684 GRIFFIN RDCooper City, FL 33328-3713
Mailing Address8684 Griffin Rd # 8bCooper City, FL 33328-3713 · (954) 856-2364 · Fax (954) 766-1819
Phone(954) 856-2364
Fax(954) 766-1819
Organization SubpartNo
Authorized OfficialAdeline PierreOwner · (954) 681-1470
Enumeration DateMarch 22, 2024
Last NPPES UpdateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1922858042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8684 GRIFFIN RD, Cooper City, FL 33328
Open in Google Maps ↗

Other Names 1

Doing Business AsDivine Med Spa & Clinic

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 Med Spa & Clinic 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 Med Spa & Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adeline Pierre, APRN
Nurse Practitioner
NPI 1497347025
8684 GRIFFIN RD
Cooper City, FL 33328
(954) 681-1470
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2298252

Compassionate Health Center LLC · Cooper City, FL
Active · expires Jan 30, 2028
CLIA Number10D2298252
Laboratory TypeLow Complexity Poc
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorAdeline Pierre
Laboratory Phone(954) 856-2364
Laboratory LocationCompassionate Health Center LLC8684 Griffin Road, Cooper City, FL 33328
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 Compassionate Health Center LLC's NPI number?

The NPI number for Compassionate Health Center LLC is 1922858042. It was assigned to this organization in the NPPES registry on March 22, 2024. The provider is doing business as Divine Med Spa & Clinic.

Where is Compassionate Health Center LLC located?

Compassionate Health Center LLC is located at 8684 Griffin Rd, Cooper City, FL 33328. The listed phone number is (954) 856-2364.

What is Compassionate Health Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Compassionate Health Center LLC enrolled in Medicare?

Yes. Compassionate Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Compassionate Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Compassionate Health Center 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.

Does Compassionate Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2298252) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Compassionate Health Center LLC was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.