Divine Garden Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DIVINE GARDEN TRANSPORTATION

Practice address

450 Mlking Dr.
Liberty, TX 77575

Phone

(936) 334-1137

NPI assigned

Sep 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddie White

Title

Co-Owner

Phone

(281) 610-3336

Specialties & licenses 1

Addresses

Other names 1

• Divine Garden Transportation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1003285156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 M L KING DR.",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "77575",
            "telephone_number": "936-334-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MLKING DR.",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "77575",
            "telephone_number": "936-334-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GARDEN TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "281-610-3336"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Garden Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gradee L Davis, PHARM.D.
• Tina Lynn Davis
• Dayton Health Bridges
• Devers I.S.D.
• Devers Isd
• Divine Integrity Group House LLC
• Virginia R Drake, RVT, RT, LVN
• Dungarvin Texas, LLC
• Stephanie Jernigan Easley, D.C.
• Steven Ellerbe

• All providers in Liberty, TX
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.