DIVINE TORCH HEALTH SERVICES, INC. (NPI# 1649538950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649538950 |
| Entity Type | Organization |
| Organization Name | DIVINE TORCH HEALTH SERVICES, INC. |
| Other Organization Name | DIVINE TOUCH HEALTH SERVICES |
| Practice Address |
410 Rocky Creek Dr Mansfield TX 76063 |
| Mailing Address |
410 Rocky Creek Dr Mansfield TX 76063-8800 |
| Practice Telephone | 8172252160 |
| Practice Fax Number | 8172252161 |
| Mailing Telephone | 8172252160 |
| Mailing Fax Number | 8172252161 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MR. JUDE AGENDIA (CEO) |
| Authorized Official Telephone | 8172252160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | 014746 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| DIVINE TOUCH HEALTH SERVICES | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4402 Broadway Blvd, Suite #7, Garland, TX 750438263 | 2147030295 | 2147030296 |
| Street Address |
410 ROCKY CREEK DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1083214381 | Infinite Care Health Services LLC | Home Health | 288 Glessner Ave Ste B, Mansfield, OH 44903-2225 | 2020-10-27 |
| 1992338230 | Carrington Healthcare Services, Inc | Home Health | 2755 Lexington Ave Apt 12a, Mansfield, OH 44904-1460 | 2020-02-14 |
| 1861042202 | Angels On Board Medical Transportation, LLC | Home Health | 604 Bogey Ln, Mansfield, TX 76063-5451 | 2019-09-18 |
| 1760039804 | Leeann Neumann | Home Health | 1035 Sunset Blvd, Mansfield, OH 44907-2334 | 2019-08-22 |
| 1831755172 | Nationwide Home Health Care, LLC | Home Health | 1 Marion Ave Ste 309, Mansfield, OH 44903-7907 | 2019-05-13 |
| 1982190427 | Salvation Care | Home Health | 155 W 4th St Apt B, Mansfield, OH 44903-1671 | 2018-07-09 |
| 1730681594 | Alliance Home Health Service, LLC | Home Health | 787 Lexington Ave Ste 305, Mansfield, OH 44907-1998 | 2018-03-07 |
| 1760995716 | Care Focus Home Health Care Inc | Home Health | 4505 Catherine Dr, Mansfield, TX 76063-2397 | 2017-11-13 |
| 1336680842 | Loving Hearts Home Health | Home Health | 54 Sturges Ave, Mansfield, OH 44902-1912 | 2017-03-16 |
| 1275085607 | New Direction Home Healthcare of Dfw Inc | Home Health | 1015 E Dallas St, Ste 2, Mansfield, TX 76063-2000 | 2016-11-02 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on DIVINE TORCH HEALTH SERVICES, INC..
| 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.