Divinity Hospice LLC.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

199 Issued in MS

Legal business name

DIVINITY HOSPICE LLC.

Practice address

337 Ellisville Blvd
Laurel, MS 39440-4523

Phone

(601) 319-1211

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald H Pugh Sr.

Title

Ceo

Phone

(601) 319-1211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1275837767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6424",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394416424",
            "telephone_number": "601-319-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ELLISVILLE BLVD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404523",
            "telephone_number": "601-319-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HOSPICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-319-1211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MS",
            "license": "199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Dennis, FNP
• Sophia L Dent, RN
• Darren Dickens, LPC
• Jeff B Dickey, MOT
• Daniel Wendell Diers, MPT, ATC
• DJ Transit, Inc.
• Thomas E Dobbs, M.D.
• Dr. Michael S. Zaleski
• Dr. Shelley H, Davis DMD
• Kimberly Nicole Drummer- Hosey, CPHT

• Physical Disabilities Residential Treatment Facility in Laurel, MS
• Providers in Laurel, MS by specialty
• Physical Disabilities Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.