Organization Active NPI

Divine Nursing Services Inc.

Doing business as Divine Home Health Care

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1144271735
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE NURSING SERVICES INC.
Doing business as
Divine Home Health Care
Practice address
11211 Katy Fwy
310
Houston, TX 77079-2126
Phone
(713) 464-3900
Fax
(713) 464-3901
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Phillip Ayodele
Title
Ceo/Administrator
Phone
(713) 464-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

11211 Katy Fwy
310
Houston, TX 77079-2126

Mailing address

11211 Katy Fwy
310
Houston, TX 77079-2126
Phone (713) 464-3900

Other names 1

  • DIVINE HOME HEALTH CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000108 TX Part A Provider - Home Health Agency 8325050578 Practice locations: Houston, TX

Home health agency certification: CCN 679634

Legal name
DIVINE NURSING SERVICES INC.
Doing business as
DIVINE HOME HEALTH ARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2007
Last certification
Apr 25, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2006 in TX
Enrollment address
16000 Park Ten Place
Suite 404
Houston, TX 77084-5119

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Home Health CareCCN 679634 · All quality measures
Ownership
Proprietary
Certified
Feb 27, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1057839Divine Nursing Services Inc Dba16000 Park Ten PL Suite #404, Houston, TX 77084Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

16350 Park Ten Pl
Ste 221
Houston, TX 77084
Phone (281) 647-7733

11211 Katy Fwy
Ste 310
Houston, TX 77079
Phone (713) 464-3900

16000 Park Ten Pl
Ste 404
Houston, TX 77084
Phone (281) 647-2424

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Phillip Ayodele Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2006 100%
Corporate OfficerCeo Mar 15, 2006
Corporate DirectorBoard Member May 1, 2006
W-2 Managing EmployeeAdministrator May 1, 2006

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1144271735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 KATY FWY",
            "address_2": "310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792126",
            "telephone_number": "713-464-3900",
            "fax_number": "713-464-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 KATY FWY",
            "address_2": "310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792126",
            "telephone_number": "713-464-3900",
            "fax_number": "713-464-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE NURSING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "AYODELE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "713-464-3900"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.