DIVINE LIVING LIMITED LIABILITY COMPANY
Assisted Living Facility

Address: 202 E Lanvale St, Baltimore, MD 21202-2814

DIVINE LIVING LIMITED LIABILITY COMPANY (NPI# 1871189985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871189985
Entity Type Organization
Organization Name DIVINE LIVING LIMITED LIABILITY COMPANY
Practice Address 202 E Lanvale St
Baltimore
MD 21202-2814
Practice Telephone 4436823762
Mailing Address 8620 Pleasant Plains Rd
Towson
MD 21286-2351
Mailing Telephone 4436823762
Certification Date 2020-12-14
Enumeration Date 2020-12-14
Last Update Date 2020-12-14
Authorized Official Telephone 4436823762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 202 E LANVALE ST
City BALTIMORE
State MD
Zip Code 21202-2814

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1144816786 Jennifer Sequera Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Mercy Medical Center Anticoagulation Clinic, 301 St. Paul Place, Baltimore, MD 21202 2020-12-17
1750938650 Anthony Graves Behavior Technician 414 Light Street, Baltimore, MD 21202 2019-08-25
1235786609 Perfected Medical Billing & Consulting Service Inc. Rehabilitation Counselor 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 2019-08-21
1700430246 Ronie George Nurse Practitioner · Neonatal 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker · Clinical 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/Ofic of Spec Educ- Speech-Language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor · Mental Health 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
1700349602 Strategies, Inc. Behavior Analysis & Therapeutic Services Behavior Analyst 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 2019-04-09
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649862277 Golden Assisted Living LLC 5126 Chalgrove Ave, Baltimore, MD 21215-5127 2021-02-04
1104416593 Wanda Alisa Shird 4406 Belle Ave, Baltimore, MD 21207-7645 2021-01-20
1487243580 Patrick A Francis 3643 Reisterstown Rd, Baltimore, MD 21215-7701 2021-01-13
1053908053 Pride Assisted Living, LLC 1003 Whatcoat St, Baltimore, MD 21217-2220 2020-12-23
1427651892 Dana Viola Holley 821 W Cross St, Baltimore, MD 21230-2501 2020-11-18
1720680077 Sudia Corbin 3835 Sequoia Ave, Baltimore, MD 21215-5405 2020-11-11
1548862949 Integrity-Esthers Place, LLC 2926 Harford Rd, Baltimore, MD 21218-3142 2020-11-10
1700486032 Comfort At Home Care, LLC 4628 Marble Hall Rd, Baltimore, MD 21239-3937 2020-10-27
1740896182 M&o Prestige Partnership LLC 1805 Ashburton St, Baltimore, MD 21216-3538 2020-09-21
1922612563 Tracie Shirrelle Gambrill 3029 Windsor Ave, Baltimore, MD 21216-2751 2020-09-01
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Competitor

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City BALTIMORE
Zip Code 21202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.