Divine Supports Services
NPI 1669924866ActiveOrganization· PACE Provider Organization· Drexel Hill, PA
PACE Provider Organization in Drexel Hill, Pennsylvania, registered in NPPES in November 2016. The authorized official on file is Olufunmilayo Balogun-Victor, RN, Ceo.
Overview
| NPI | 1669924866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2016 |
| Last updated in NPPES | May 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | RN600719 | PA |
| Nursing Care | 251J00000X | RN600719 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|