OrganizationActive
Divine Supports Services
NPI 1669924866 · PACE Provider Organization · Drexel Hill, PA
Provider details
- NPI number
- 1669924866
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Olufunmilayo Balogun-Victor, Ceo(484) 358-5535
- License
- RN600719 (PA)
Specialties & taxonomies
Agencies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3954 Stratford Rd
Drexel Hill, PA 19026-2723
Phone: (484) 358-5535
Street-level locationGet directions
Mailing address
3954 Stratford Rd
Drexel Hill, PA 19026-2723
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.