A & S Divine Healthcare Services PLLC
NPI 1215519038ActiveOrganization· Nurse Practitioner, Family· Calumet City, IL
Nurse Practitioner, Family in Calumet City, Illinois, registered in NPPES in April 2021. The authorized official on file is Angel White, DNP, APRN, FNP-BC, Co-Owner/Family Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215519038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2021 |
| Last updated in NPPES | Nov 16, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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