Divine Care Health And Wellness LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brockton, Massachusetts
1932861614- Practice location
- 500 Westgate Dr # 1016, Brockton, MA 02301-1855
- Phone
- 857-574-4497
- Fax
- —
- Last updated
- October 9, 2021
Divine Care Health And Wellness LLC is a healthcare organization based in Brockton, MA. Divine Care Health And Wellness LLC practices in Brockton, MA. The NPI Number for Divine Care Health And Wellness LLC is 1932861614. The current practice location address for Divine Care Health And Wellness LLC is 500 Westgate Dr # 1016, Brockton, MA 02301-1855 and can be reached out via phone at 857-574-4497.
Provider Profile Details
- NPI Number
- 1932861614
- Provider Name
- Divine Care Health And Wellness LLC
- Provider Entity Type
- Organization
- Address
- 500 Westgate Dr # 1016, Brockton, MA 02301-1855
- Phone Number
- 857-574-4497
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Elsie Adibe · Psychiatric Mental Health Nurse Pra · 857-574-4497
- Provider Enumeration Date
- October 9, 2021
- Last Update Date
- October 9, 2021
- Certification Date
- October 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Westgate Dr # 1016
Brockton, MA 02301-1855 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-1855
- Phone Number
- 857-574-4497
Provider Business Mailing Address Details
- Address
- 500 Westgate Dr # 1016
Brockton, MA 02301-1855 - City
- Brockton
- State
- MA
- Zip
- 02301-1855
- Phone Number
- 857-574-4497
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Divine Care Health And Wellness LLC?
The NPI number of Divine Care Health And Wellness LLC is 1932861614. It was assigned on October 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Divine Care Health And Wellness LLC?
Divine Care Health And Wellness LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Divine Care Health And Wellness LLC practice?
The practice location is 500 Westgate Dr # 1016, Brockton, MA 02301-1855. The office can be reached at 857-574-4497 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932861614 directly on the NPPES registry website.