NPIMap

Organization Active NPI

Divine Home Care Services Inc

  • Registered Nurse
  • Monroe, LA
National Provider Identifier
1134562044
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN110197 Issued in LA
Legal business name
DIVINE HOME CARE SERVICES INC
Practice address
1900 Hudson LN
Suite H
Monroe, LA 71201
Phone
(318) 303-3180
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Ms. Latoria Shontay Harris, RN
Title
Director
Phone
(318) 303-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN110197 LA Primary

Addresses

Primary practice location

1900 Hudson LN
Suite H
Monroe, LA 71201

Mailing address

PO Box 5014
Monroe, LA 71211-5014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1134562044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5014",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712115014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HUDSON LN",
            "address_2": "SUITE H",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-303-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LATORIA",
        "authorized_official_middle_name": "SHONTAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-303-3180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN110197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.