Divine Health LLC
NPI 1477420966 · Primary Care Clinic/Center · Fort Washington, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Health LLC is a Primary Care Clinic/Center organization in Fort Washington, MD (NPI 1477420966).
Provider details
- NPI number
- 1477420966
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Freda Larbi, Provider(240) 581-0125
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Frequently asked questions
- What is Divine Health LLC's NPI number?
- Divine Health LLC's National Provider Identifier (NPI) is 1477420966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Health LLC?
- Divine Health LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Health LLC located?
- Divine Health LLC's practice location on file with NPPES is 8507 Oxon Hill Rd Ste 200-S50, Fort Washington, MD 20744-4766.
- What is Divine Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Health LLC is (240) 581-0125.
- Does Divine Health LLC accept Medicare?
- Divine Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Health LLC?
- The authorized official listed on Divine Health LLC's NPPES record is Freda Larbi, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Health LLC's NPI active?
- Yes — Divine Health LLC's NPI (1477420966) is active in the NPPES registry as of the last update on 2025-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.