OrganizationActive
Divine Beauty & Wellness LLC
NPI 1578062055 · Prosthetics Case Management · Baltimore, MD
Provider details
- NPI number
- 1578062055
- Entity type
- Organization
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Organization subpart
- No
- Authorized official
- Tyrahna Jefferson, Ceo/Owner(410) 304-3127
Specialties & taxonomies
Other Service Providers
- Reflexologist173C00000X
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES 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
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (410) 304-3127
Street-level locationGet directions
Mailing address
8125 Subet Rd
Windsor Mill, MD 21244-2973
Registry dates
- Enumerated
- 2018-02-09
- Last updated
- 2023-08-16
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.