Active NPI
Divine Health Care
- In Home Supportive Care Agency
- Plano, TX
National Provider Identifier
1285243345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIVINE HEALTH CARE
- Practice address
- 5851 Legacy Cir Ste 600
Plano, TX 75024-5969 - Phone
- (501) 353-8568
- NPI assigned
- Jul 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoyal Robinson
- Title
- Owner
- Phone
- (501) 353-5392
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Respite Care | 385H00000X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
5851 Legacy Cir Ste 600
Plano, TX 75024-5969
Mailing address
5851 Legacy Cir Ste 600
Plano, TX 75024-5969
Phone (501) 353-8568
National Provider Directory
National Provider DirectoryLocations
5851 Legacy Cir
Ste 600
Plano, TX 75024
Phone (501) 353-8568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600041600000",
"number": "1285243345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 LEGACY CIR STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750245969",
"telephone_number": "501-353-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 LEGACY CIR STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750245969",
"telephone_number": "501-353-8568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "LATOYAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-353-5392"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.