Divine Walk in Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE WALK IN HOME CARE

Practice address

124 N Broadway St
McComb, MS 39648-3914

Phone

(769) 204-3488

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Crystal Deer-Walker, LPNNPI 1225629264

Title

Owner

Phone

(601) 996-0455

Specialties & licenses 1

Addresses

Other names 1

• Divine Walk Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Deer-Walker, LPN

  • Licensed Practical Nurse
  • McComb, MS
  • NPI 1225629264
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1093306912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396491033",
            "telephone_number": "601-996-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BROADWAY ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483914",
            "telephone_number": "769-204-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE WALK IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "DEER-WALKER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-996-0455",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Walk",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cierra Denman, PCMHT
• Cycily Rashun Denman, LCSW
• Edith Dennis
• Deborah Leanne Dews, PCMHT
• Carol G Dickerson, SLP
• Pamela Dixon
• William N Dixon, M.D.
• Lyndi P Dobbs
• Theresa Doggett
• Fredeca Donald

• Home Health Agency in McComb, MS
• Providers in McComb, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.