DIVINITY HOSPICE, LLC (NPI# 1124660485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124660485 |
| Entity Type | Organization |
| Organization Name | DIVINITY HOSPICE, LLC |
| Practice Address |
5601 Bridge St Ste 300 Fort Worth TX 76112-2355 |
| Practice Telephone | 8174927020 |
| Mailing Telephone | 8174927020 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | KATHRYN ELWESS (OWNER) |
| Authorized Official Telephone | 8174927020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
5601 BRIDGE ST STE 300 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508176462 | Lifeforce Opportunity Inc | Counselor | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2010-10-13 |
| 1093360802 | Timiera Clark | Technician | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-08-08 |
| 1205488509 | Angelia Joyce Hicks | Counselor | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-07-16 |
| 1891357661 | Kenya Williamson | Counselor | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-07-02 |
| 1912469255 | Cynthia Rivera | Behavior Technician | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-04-04 |
| 1083174718 | Nangmoon Amanda Moua | Behavior Technician | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-03-20 |
| 1396257093 | Dora Williams | Counselor | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2017-11-02 |
| 1710401526 | Cooper Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2017-08-02 |
| 1316471436 | Bountiful Community Home Health L.L.C. | Community/Behavioral Health | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2017-04-14 |
| 1083085070 | Yakia Collier | Adult Companion | 5601 Bridge St Ste 300, Fort Worth, TX 76112 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298345 | Baptist Hospice of Texas LLC | Hospice Care, Community Based | 9716 Barksdale Dr, Fort Worth, TX 76244-6024 | 2019-11-04 |
| 1538647052 | Cec Health Agency | Hospice Care, Community Based | 7105 Kickapoo Dr, Fort Worth, TX 76179-4710 | 2018-08-06 |
| 1306351556 | Care Plus Palliative and Hospice Care, LLC | Hospice Care, Community Based | 6940 River Park Cir, Fort Worth, TX 76116-0525 | 2017-12-11 |
| 1841641354 | Sentayehu Gebremeskel I | Hospice Care, Community Based | 4709 Exposition Way, Fort Worth, TX 76244-6094 | 2016-06-27 |
| 1922458231 | Dfw Tender Touch Hospice, LLC | Hospice Care, Community Based | 4804 Grapevine Ter, Fort Worth, TX 76123-2920 | 2016-06-16 |
| 1043673585 | Knights of Comfort Hospice L.L.C. | Hospice Care, Community Based | 10412 Bear Creek Trl, Fort Worth, TX 76244-6515 | 2016-04-01 |
| 1902294150 | Angel Unaware | Hospice Care, Community Based | 6417 Drury Ln, Fort Worth, TX 76116-4403 | 2014-12-22 |
| 1255738928 | Hospice Holdings Dfw LLC | Hospice Care, Community Based | 6300 Ridglea Pl Ste 1107, Fort Worth, TX 76116-5737 | 2014-11-24 |
| 1952722266 | A To Z Palliative and Hospice Care Inc | Hospice Care, Community Based | 4152 Petersburg Dr, Fort Worth, TX 76244-4373 | 2014-01-05 |
| 1861834764 | Infinity Hospice Inc | Hospice Care, Community Based | 5112 Comstock Cir, Fort Worth, TX 76244-6799 | 2013-07-22 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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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.