DIVINE HEALTHCARE LLC (NPI# 1003150475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003150475 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE LLC |
| Practice Address |
3840 Middle Rd Edwards MS 39066-9691 |
| Practice Telephone | 6018962449 |
| Mailing Telephone | 6018962449 |
| Enumeration Date | 2012-11-24 |
| Last Update Date | 2012-11-24 |
| Authorized Official Name | MS. NAKIA CASSELL BENNETT (OWNER) |
| Authorized Official Telephone | 6018962449 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | P318307 | MS | Agencies |
| Street Address |
3840 MIDDLE RD |
| City | EDWARDS |
| State | MS |
| Zip Code | 39066-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023411451 | Mcgee Healthcare Staffing Agency | Nursing Care | 3190 Hwy 467, Edwards, MS 39066 | 2014-09-30 |
| 1386710127 | Lane Gibson Clower | Dentist | 1202 Hwy 22, Edwards, MS 39066 | 2006-11-24 |
| 1023192697 | Robert G Glass | Dentist | 131 North Trigg Ave, Gallatin, TN 39066 | 2006-10-24 |
| 1356455208 | Carrol Frazier Landrum | General Practice | 102 Withers St, Edwards, MS 39066 | 2006-08-18 |
| 1346684826 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 100 South Magnolia Street, Edwards, MS 39066 | 2013-04-26 |
| 1982740809 | Edwards Dental Clinic Inc | Dentist | 1202 Hwy 22, Edwards, MS 39066 | 2007-01-29 |
| 1215321252 | Mcgee Healthcare Staffing Agency LLC | In Home Supportive Care | 3190 Highway 467, Edwards, MS 39066-4126 | 2015-03-27 |
| 1124522909 | Dodie D Mcgee | Nurse Practitioner | 3190 Highway 467, Edwards, MS 39066-4126 | 2018-03-19 |
| 1639556079 | Mcgee Healthcare Staffing Agency LLC | Non-emergency Medical Transport (VAN) | 3190 Highway 467, Edwards, MS 39066-4126 | 2015-05-06 |
| 1376022202 | Golden Miles Home Services Inc. | Clinic/Center | 203 Montgomery Dr, Edwards, MS 39066-8913 | 2018-08-10 |
| Find all providers in zip 39066 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023411451 | Mcgee Healthcare Staffing Agency | Nursing Care | 3190 Hwy 467, Edwards, MS 39066 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811631 | Collins Home Care LLC | Nursing Care | 209 Commerce Dr Ste D, Brandon, MS 39042-2756 | 2020-11-02 |
| 1760081301 | Magnolia Healthcare Solutions, LLC | Nursing Care | 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 | 2020-10-24 |
| 1659981181 | Anchoring Hearts Healthcare LLC | Nursing Care | 730 Ridgewood Rd Ste A, Ridgeland, MS 39157-4434 | 2020-08-10 |
| 1588282941 | Anchoring Hearts Healthcare | Nursing Care | 308 Belvedere Dr, Pearl, MS 39208-8916 | 2020-07-11 |
| 1912539149 | Tih Services LLC | Nursing Care | 1246 Beverly Hills Rd Apt 207, Hattiesburg, MS 39401-4464 | 2020-02-05 |
| 1629608831 | Collins Home Care LLC | Nursing Care | 305 Turny Cv, Brandon, MS 39042-7007 | 2020-01-16 |
| 1417424391 | Optimal Wellness 365 LLC | Nursing Care | 4375 Highway 51 N Apt 25-201, Horn Lake, MS 38637-8720 | 2018-10-29 |
| 1679040729 | Karis Staffing Agency | Nursing Care | 2068 Smyrna Rd, Hazlehurst, MS 39083-9049 | 2018-10-26 |
| 1568938447 | Trusting Loyal Caring Tlc Homemakers Service | Nursing Care | 59 Noblin Road, Cleveland, MS 38732-9571 | 2018-10-18 |
| 1700378965 | Southern Medical Solutions | Nursing Care | 186 Burris Rd Se, Mc Call Creek, MS 39647-5295 | 2018-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.