DIVINE CARE HEALT SERVICES


Address: 6850 Manhattan Blvd, Suite 104, Fort Worth, TX 76120-1227
Phone: 8179300930

DIVINE CARE HEALT SERVICES (NPI# 1326169848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326169848
Entity Type Organization
Organization Name DIVINE CARE HEALT SERVICES
Other Organization Name NDUBUISI DAVID ACHO
Practice Address 6850 Manhattan Blvd
Suite 104
Fort Worth
TX 76120-1227
Practice Telephone 8179300930
Mailing Telephone 8179300930
Enumeration Date 2007-04-02
Last Update Date 2007-11-28
Authorized Official Name MS. JACQUELYN WILLIAMS (BUSINESS MANAGER)
Authorized Official Telephone 8179300930
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 007277 TX Agencies

Other Provider/Organization Names

Other Name Type Code
Ndubuisi David Acho Doing Business As Name - Organization

Office Location

Street Address 6850 MANHATTAN BLVD
SUITE 104
City FORT WORTH
State TX
Zip Code 76120-1227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588615215 Trinity Hospice- Castle Peak, Lp Hospice Care, Community Based 6850 Manhattan Blvd, Fort Worth, TX 76120-1227 2006-05-15
1194139378 Dolores Cardenas Occupational Therapist 6850 Manhattan Blvd, Suite 204, Fort Worth, TX 76120-1227 2014-06-16
1417360017 Hollye Peters Speech-Language Pathologist 6850 Manhattan Blvd, Suite 204, Fort Worth, TX 76120-1227 2014-06-11
1790102317 Rachel Smith Specialist 6850 Manhattan Blvd, Ste 204, Fort Worth, TX 76120-1227 2014-03-20
1740606557 Jorge A Marquez Sr. Speech-Language Pathologist 6850 Manhattan Blvd, Ste 204, Fort Worth, TX 76120-1227 2014-03-17
1396161220 Heather Hamilton Speech-Language Pathologist 6850 Manhattan Blvd, Fort Worth, TX 76120-1227 2014-03-17
1275959082 Stacy Fitts Speech-Language Pathologist 6850 Manhattan Blvd, Suite 204, Fort Worth, TX 76120-1227 2014-03-17
1922424944 Cathryn Donaghey Speech-Language Pathologist 6850 Manhattan Blvd, Suite 204, Fort Worth, TX 76120-1227 2014-03-14
1396161279 Lindy Gerow Physical Therapy Assistant 6850 Manhattan Blvd, Ste. 204, Fort Worth, TX 76120-1227 2014-03-14

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NPI Name Taxonomy Address Enumeration
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1205352770 Jessica Racheel Ferguson Counselor 2684 Gardendale Drive, Fort Worth, TX 76120 2017-08-16
1114313772 John Allen Baker Registered Nurse 809 Newport Rd, Fort Worth, TX 76120 2015-04-10
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

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1578055000 A Unique Heart & Hands Home Health 953 E 2nd St, Fort Worth, TX 76102-3234 2018-05-31
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Competitor

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City FORT WORTH
Zip Code 76120

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Dataset Information

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.

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