Organization Active NPI

Divine Care Services

  • Community Health Worker
  • Gonzales, LA
National Provider Identifier
1124298716
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Aug 21, 2009

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LA
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X LA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LA
Registered Dietetic TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 136A00000X LA
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X LA
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X LA
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X LA
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.