Devine Health Consumer Directed Services LLC
Organization Active NPI Home Health Agency · Black Jack, MO
NPI 1225903149 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1225903149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- DEVINE HEALTH CONSUMER DIRECTED SERVICES LLC
- Practice address
- 12405 Old Halls Ferry Rd # 325
Black Jack, MO 63033-4204 - Phone
- (314) 221-3495
- Fax
- (615) 541-3381
- NPI assigned
- Oct 9, 2025
- Organization subpart
- No
Authorized official
- Name
- Vernetta Collard
- Title
- Owner
- Phone
- (314) 221-3495
Practitioners 1
National Provider Directory
Locations
12405 Old Halls Ferry Rd
#325
Black Jack, MO 63033
Phone (314) 221-3495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
12405 Old Halls Ferry Rd # 325
Black Jack, MO 63033-4204
Mailing address
844 Carson Rd
Saint Louis, MO 63135-2349
Phone (314) 221-3495
Other providers in Black Jack, MO
- Comfort Solutions Health Services LLC
- Daisys Heart Home Healthcare LLC
- Veola Davis
- Delivering Love & Care Agency LLC
- Delmar Gardens North Operating, LLC
- Dna Transportation L.L.C
- Elevating Wellness Homecare
- Elevating Wellness Homecare CDS
- Elgin Hands Home Healthcare Services LLC
- Epic Healthcare and Wellness Solutions LLC
All providers in Black Jack, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.