Organization Active NPI

Divine Assurance Healthcare Services Inc.

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1215174123
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE ASSURANCE HEALTHCARE SERVICES INC.
Practice address
2920 Volturno Dr
Grand Prairie, TX 75052-8731
Phone
(469) 286-8472
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Olugbenga Bakare
Title
Administrator
Phone
(469) 286-8472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2920 Volturno Dr
Grand Prairie, TX 75052-8731

Mailing address

2920 Volturno Dr
Grand Prairie, TX 75052-8731
Phone (469) 286-8472

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1215174123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 VOLTURNO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528731",
            "telephone_number": "469-286-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 VOLTURNO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528731",
            "telephone_number": "469-286-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ASSURANCE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BAKARE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-286-8472"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.