Active NPI
Divine Care Services
- Community Health Worker
- Gonzales, LA
National Provider Identifier
1124298716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- DIVINE CARE SERVICES
- Practice address
- 2126 S Edward Ave
Gonzales, LA 70737-3705 - Phone
- (225) 772-4950
- NPI assigned
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzanne Massey
- Title
- Ceo
- Phone
- (225) 772-4950
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LA | ||
| Pastoral Counselor | 101YP1600X | LA | ||
| Professional Counselor | 101YP2500X | LA | ||
| Registered Dietetic Technician | 136A00000X | LA | ||
| Registered Nurse | 163W00000X | LA | ||
| Licensed Practical Nurse | 164W00000X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Community Health Worker | 172V00000X | LA | Primary | |
| Early Intervention Provider Agency | 252Y00000X | LA |
Addresses
Primary practice location
2126 S Edward Ave
Gonzales, LA 70737-3705
Mailing address
PO Box 2006
Gonzales, LA 70707-2006
Phone (225) 772-4950
Other names 1
- Divine Health/Access
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250812800000",
"number": "1124298716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2006",
"city": "GONZALES",
"state": "LA",
"postal_code": "707072006",
"telephone_number": "225-772-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 S EDWARD AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373705",
"telephone_number": "225-772-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2009-08-21",
"status": "A",
"authorized_official_last_name": "MASSEY",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-772-4950",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "136A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietetic Technician, Registered",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Divine Health/Access",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.