J DIVINE, LLC (NPI# 1215393269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393269 |
| Entity Type | Organization |
| Organization Name | J DIVINE, LLC |
| Other Organization Name | DIVINE HOME HEALTH AGENCY |
| Practice Address |
5743 Farwell Dr. Houston TX 77035-5501 |
| Practice Telephone | 8322075272 |
| Practice Fax Number | 7134850804 |
| Mailing Telephone | 8322075272 |
| Mailing Fax Number | 7134850804 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MRS. GWENDOLYN FAYE JACKSON (OWNER) |
| Authorized Official Telephone | 8322075272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Divine Home Health Agency | Doing Business As Name - Organization |
| Street Address |
5743 FARWELL DR. |
| City | HOUSTON |
| State | TX |
| Zip Code | 77035-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952735391 | Gwendolyn Faye Jackson | Nurse's Aide | 5743 Farwell Dr., Houston, TX 77035 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092744 | Joyce Spigner | Technician | 5570 Gasmer #161, Houston, TX 77035 | 2019-09-17 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1164983771 | Bringing Hope Inc. | Social Worker | 11401 Hwy 1774, Plantersville, TX 77035 | 2019-03-27 |
| 1760966105 | Lauren Michelle Auzenne | Dentist | 5357 West Bellfort Ave, Houston, TX 77035 | 2018-09-21 |
| 1821574583 | Priscilla D Davis | Counselor | 5240 Arboles Dr Apt 3, Houston, TX 77035 | 2018-07-16 |
| 1376964858 | South Central Houston Action Council Inc | Clinic/Center | 14087 Main St, Houston, TX 77035 | 2013-12-30 |
| 1326383134 | Meyerland Memory Care, LLC | Assisted Living Facility | 4710 W Bellfort Street, Houston, TX 77035 | 2012-12-05 |
| 1063761997 | Millie Parikh | Pharmacist | 6415 Dellfern, Houston, TX 77035 | 2012-09-06 |
| 1912255183 | Kelly Lynn Murray | General Practice | 10811 Doud St, Houston, TX 77035 | 2012-08-20 |
| 1033477716 | Hall's Personal Care | Assisted Living Facility | 12402 Renwick, Houston, TX 77035 | 2012-05-01 |
| Find all providers in zip 77035 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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|---|---|---|---|---|
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| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
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| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1568000578 | Olasimbo Bode | Technician | 6100 Marinette Dr Apt 1308, Houston, TX 77036-4470 | 2019-12-20 |
| 1639712003 | Credence Homecare LLC | Technician | 14223 Swanfield Dr, Houston, TX 77083-6136 | 2019-10-18 |
| 1033760962 | Atlas Home Care, Inc | Technician | 12000 Richmond Ave Ste 330a, Houston, TX 77082-2431 | 2019-09-23 |
| 1235783911 | Jacqueline Tezeno | Technician | 11575 Pearland Pkwy Apt 10202, Houston, TX 77089-2661 | 2019-07-30 |
| 1053972604 | Built To Rise Incorporation | Technician | 4606 Fm 1960 Rd W Ste 322, Houston, TX 77069-4600 | 2019-06-25 |
| 1023677150 | Premium Home Care Services | Technician | 8627 Connaught Garden Dr, Houston, TX 77083-6032 | 2019-06-12 |
| Find all providers in HOUSTON | ||||
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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.