Devine Providence Home of Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEVINE PROVIDENCE HOME OF CARE

Doing business as

Devine Providence Home of Care

Practice address

3025 Blue Jay LN
Midlothian, TX 76065-8705

Phone

(682) 375-6938

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By 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

Cynthia Tuedjo Fegaing

Title

Director/Owner

Phone

(682) 375-3968

Specialties & licenses 4

Addresses

Other names 1

• Devine Providence Home of Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1083349518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BLUE JAY LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658705",
            "telephone_number": "682-375-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BLUE JAY LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658705",
            "telephone_number": "682-375-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE PROVIDENCE HOME OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "FEGAING",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TUEDJO",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "682-375-3968"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "assword,protected,computers",
            "affiliation": "N",
            "endpointDescription": "limited access,secure,password,protected,computers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3025 Blue Jay Ln",
            "city": "Midlothian",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760658705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Devine Providence Home of Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.