Divine Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HEALTH CARE SERVICES, INC.

Practice address

3200 Broadway Blvd Ste 268
Garland, TX 75043-1572

Phone

(903) 595-2400

Fax

(903) 595-2415

NPI assigned

Aug 12, 2006

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Hajara Babale

Title

Owner

Phone

(903) 595-2400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245242171. Details of each certification follow.

• CCN 679265 Home health agency · Active · Details

Home health agency certification: CCN 679265

Legal name

DIVINE HEALTH CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 1, 2003

Last certification

Apr 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 8, 2002 in TX

Enrollment address

3200 Broadway Blvd
Ste 268
Garland, TX 75043-1572

Listed as

Divine Health Care Services IncCCN 679265 · All quality measures

Ownership

Proprietary

Certified

May 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emilia Ngozi Anyanwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1457886582
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Idemudia, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Terrell, TX
  • NPI 1306391396

  Home health agency

  Care Compare affiliation
• David Nesser, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1376514208

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1245242171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 268",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431572",
            "telephone_number": "214-994-4915",
            "fax_number": "903-595-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 268",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431572",
            "telephone_number": "903-595-2400",
            "fax_number": "903-595-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "BABALE",
        "authorized_official_first_name": "HAJARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-595-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008313",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Dimas
• Oanh Kim Thi Dinh
• Justin Terin Dion
• Debra Dirden
• Diverse Minds Therapy, PLLC
• Divine Place Nursing & Staffing
• Divine Shepard Home Health Inc
• Divine Touch Healthcare Inc
• Divinetouch Health Services
• DLNP LLC

• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.