DIVINE 4 SUPPORT LLC
NPI 1790558393
Home Health Aide in Eastpointe, MI

NPI Status: Active since November 06, 2023

Contact Information

15378 VERONICA AVE
EASTPOINTE, MI
ZIP 48021
Phone: (313) 477-9642
Fax: (313) 521-3767

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  • Organization
  • Home Health Aide

About DIVINE 4 SUPPORT LLC

This page provides the complete NPI Profile along with additional information for Divine 4 Support Llc, a provider established in Eastpointe, Michigan operating as a Home Health Aide. The healthcare provider is registered in the NPI registry with number 1790558393 assigned on November 2023. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Divine 4 Support Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Monique Boyd (Owner)

NPI
1790558393
Provider Name
DIVINE 4 SUPPORT LLC
Entity Type
Organization
Location Address
15378 VERONICA AVE EASTPOINTE, MI 48021
Location Phone
(313) 477-9642
Location Fax
(313) 521-3767
Mailing Address
15378 VERONICA AVE EASTPOINTE, MI 48021
Mailing Phone
(313) 477-9642
Mailing Fax
(313) 521-3767
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2023
Last Update Date
01-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1172V00000XOther Service Providers

Community Health Worker

 
2251E00000XAgencies

Home Health

 
33747A0650XNursing Service Related Providers

Technician
Attendant Care Provider

 
43747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 
5376G00000XNursing Service Related Providers

Nursing Home Administrator

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MONIQUE BOYD

Authorized Official Title
OWNER
Authorized Official Phone
(313) 477-9642

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790558393
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718010516318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 0 + 5 + 1 + 6 + 3 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1790558393 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790558393, enumerated in the NPI registry as an "organization" on November 06, 2023

The provider is located at 15378 Veronica Ave Eastpointe, Mi 48021 and the phone number is (313) 477-9642

This medical organization specializes in Home Health Aide with taxonomy code 374U00000X

This NPI record was last updated on November 06, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.