DIVINE HOME CARE LLC (NPI# 1306319439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306319439 |
| Entity Type | Organization |
| Organization Name | DIVINE HOME CARE LLC |
| Practice Address |
27822 Burchfield Grove Ln Katy TX 77494-5206 |
| Practice Telephone | 6092318026 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | SUCCESS AIGBOGUN (ADMINISTRATOR) |
| Authorized Official Telephone | 6092318026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Acti-Kare Responsive In Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363418 | Divine Home Care LLC | Home Health | 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 | 2020-10-13 |
| 1881162576 | Divine Home Care LLC | In Home Supportive Care | 5 Indian Hill St, East Hartford, CT 06108-2848 | 2018-11-11 |
| 1588035265 | Divine Home Care LLC | In Home Supportive Care | 9258 Bellefontaine Rd, Saint Louis, MO 63137-1744 | 2015-10-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DIVINE HOME CARE LLC | 5 Indian Hill St, East Hartford, CT 06108 |
| Massachusetts Corporations | DIVINE HOME CARE LLC | 115 Glenway St, Dorchester, MA 02121 |
| Street Address |
27822 BURCHFIELD GROVE LN |
| City | KATY |
| State | TX |
| Zip Code | 77494-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090011 | Restore Care, Inc. | In Home Supportive Care | 25411 Whitehaven Gate St, Katy, TX 77493-3635 | 2020-10-10 |
| 1427665033 | Katy Lakes Home Care LLC | In Home Supportive Care | 6907 Northchester Dr, Katy, TX 77493-3850 | 2020-09-28 |
| 1588277313 | Katy Tx Caregiving LLC | In Home Supportive Care | 440 Cobia Dr Ste 2003, Katy, TX 77494-7139 | 2020-08-31 |
| 1710598115 | Quality Time Home Healthcare LLC | In Home Supportive Care | 4646 Cullen Brook Rd, Katy, TX 77449-2384 | 2020-08-11 |
| 1033729553 | Sunbeam Living Solution LLC | In Home Supportive Care | 5531 Peralta Mills Way, Katy, TX 77449-5487 | 2020-08-10 |
| 1891313938 | Halo Visionz | In Home Supportive Care | 19735 Cannon Fire Dr, Katy, TX 77449-2619 | 2020-07-06 |
| 1588207088 | Lissette Rosario | In Home Supportive Care | 6838 Brushmeade Ln, Katy, TX 77449-4760 | 2019-10-28 |
| 1417431255 | Jc Home Health Care Inc | In Home Supportive Care | 21110 Brookrock Circle, Katy, TX 77449 | 2018-09-18 |
| 1144703893 | Bayou Angels Senior Care LLC | In Home Supportive Care | 19523 Otter Trail Ct, Katy, TX 77449-4551 | 2018-09-10 |
| 1356835375 | Sibona Care | In Home Supportive Care | 5119 Whitebridge Ln, Katy, TX 77449-7701 | 2018-06-22 |
| Find all providers in KATY | ||||
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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.