DIVINE HEALTH CARE SERVICES, INC. (NPI# 1245242171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245242171 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTH CARE SERVICES, INC. |
| Practice Address |
3200 Troup Highway Suite 228 Tyler TX 75701 |
| Practice Telephone | 9035952400 |
| Practice Fax Number | 9035952400 |
| Mailing Telephone | 9035952400 |
| Mailing Fax Number | 9035952400 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | MR. BERNARD ANYANWU (OWNER) |
| Authorized Official Telephone | 9035952400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 008313 | TX | Agencies |
| Y | 251E00000X | Home Health | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093059321 | Divine Health Care Services, Inc. | Home Health | 6315 Seabrook Rd, Suite 107, Lanham, MD 20706-2628 | 2012-11-27 |
| Street Address |
3200 TROUP HIGHWAY SUITE 228 |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797760 | New Creative In Home Care | Home Health | 6011 Wilshire Dr, Tyler, TX 75703-4162 | 2020-10-13 |
| 1821588906 | Gerald Langston | Home Health | 1731 S Beckham Ave, Tyler, TX 75701-4436 | 2018-05-15 |
| 1942709464 | Rose Elia | Home Health | 5130 Chadbourne St, Tyler, TX 75703-5609 | 2018-02-10 |
| 1669994471 | Lhcg Cxii, LLC | Home Health | 821 E Southeast Loop 323 Ste 560, Tyler, TX 75701-9667 | 2017-07-13 |
| 1578085635 | Civplus Care LLC | Home Health | 4200 Old Omen Rd Apt 2202, Tyler, TX 75707-2146 | 2017-07-11 |
| 1285174292 | Heaton Health Services Agency LLC | Home Health | 1820 Shiloh Rd Ste 1503, Tyler, TX 75703-2459 | 2017-02-24 |
| 1952846628 | Spero Healthcare Services | Home Health | 6003 Old Bullard Rd, 145, Tyler, TX 75703-4235 | 2017-01-04 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1356731376 | Pf Total Adult & Beauty Health Agency | Home Health | 11408 Hwy 64 W, Tyler, TX 75704-6928 | 2015-01-29 |
| Find all providers in TYLER | ||||
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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.