Divine Grace Healthcare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIVINE GRACE HEALTHCARE, INC.

Practice address

515 N Sam Houston Pkwy E Ste 320
Houston, TX 77060-4139

Phone

(281) 809-3123

Fax

(877) 313-0955

NPI assigned

Apr 21, 2020

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol S PittsNPI 1477948008

Title

Owner

Phone

(713) 705-2443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083234900. Details of each certification follow.

• CCN A91563 Hospice · Active · Details

Hospice certification: CCN A91563

Legal name

DIVINE GRACE HEALTHCARE, INC.

Doing business as

DIVINE GRACE PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 20, 2022

Last certification

Oct 20, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 20, 2020 in TX

Enrollment address

515 N Sam Houston Pkwy E
Ste 320
Houston, TX 77060-4139

Listed as

Divine Grace Healthcare IncCCN A91563 · All quality measures

Certified

Oct 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol S Pitts, BSRN

  • Community Health Registered Nurse
  • Spring, TX
  • NPI 1477948008
  NPD Authorized official
• Noah Dewayne Johnson Jr., PH.D

  • Driver
  • Baton Rouge, LA
  • NPI 1720546112
  NPD

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anand Balasubramanian, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1811939606

  Hospice

  Care Compare affiliation
• Walter Lee Campbell Jr., MD

  • Infectious Disease Physician
  • Baton Rouge, LA
  • NPI 1578558292

  Hospice

  Care Compare affiliation
• Vasanthi Vinayagam, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1376520650

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1083234900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N SAM HOUSTON PKWY E STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604139",
            "telephone_number": "281-809-3123",
            "fax_number": "877-313-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N SAM HOUSTON PKWY E STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604139",
            "telephone_number": "281-809-3123",
            "fax_number": "877-313-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-705-2443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Divine Grace and Hope Hospice
• Divine Grace Medical Missionaries, Inc (EDivine Healthcare Services)
• Divine Hands Healthcare Corp (Divine Hands Health Care Corporation)
• Divine Health Care LLC
• Divine Health Massage
• Divine Inspirational Virtuous Anointed Personal Care Service

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.