Divine Children'S Care Home
Organization Active NPI Community/Behavioral Health Agency · Waller, TX
NPI 1255033650 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1255033650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DIVINE CHILDREN'S CARE HOME
- Practice address
- 40018 Hwy 290 Business
Waller, TX 77484 - Phone
- (469) 301-7632
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Brittri Ridley, RN
- Title
- Chief Executive Officer
- Phone
- (832) 567-7936
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
40018 Hwy 290 Business
Waller, TX 77484
Mailing address
PO Box 1447
Waller, TX 77484-1447
Phone (469) 301-7632
Other names
- Divine Children's Care Home, LLC
Other providers in Waller, TX
- Childrens Specialty Care Clinic
- Sangsoo Cho
- Clinica Latina Familiar 1 LLC
- CVS Pharmacy Inc
- Jeannene Ann Davis
- Araceli Yaritza Dominguez
- Engedi Pest Control Inc
- Eps Healthcare Services, Inc.
- Espiritus Spine & Pain Rehab PA
- Essence-E Healthcare Services PLLC
All providers in Waller, TX · Community/Behavioral Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. 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.