Organization · NPI-2

Aj Divine Homecare

Community/Behavioral Health · Clearwater, FL

NPI number1912844150
StatusActive
Last updated in NPPESMay 4, 2026

Details

NPI
1912844150
Entity type
Organization (NPI-2)
Legal business name
Aj Divine Homecare
Organization subpart
No
Enumeration date
May 4, 2026
Certification date
Apr 27, 2026
Last updated
May 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251E00000X Home Health––

Practice location

5225 Tech Data Dr Fl 2
Suite 2035
Clearwater, FL 33760-3133

Phone 515-473-8830

Mailing address

5225 Tech Data Dr Fl 2
Clearwater, FL 33760-3133

Phone 515-473-8830

Authorized official

Janean Marie Powell
Owner
5154738830

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