Divine Providers, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

DIVINE PROVIDERS, INC.

Practice address

18947 Pine Harvest LN
Richmond, TX 77407

Phone

(281) 302-6662

Fax

(281) 302-6662

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Mary D Effiong

Title

Administrator

Phone

(281) 302-6662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1285299933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 PINE HARVEST LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "281-302-6662",
            "fax_number": "281-302-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 PINE HARVEST LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "281-302-6662",
            "fax_number": "281-302-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "EFFIONG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-302-6662"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Glory Services LLC
• Divine Glory Services LLC
• Divine Grace Integrative Psychiatry PLLC
• Divine Medical Transportation Services LLC
• Divine Mental Health & Wellness Group LLC
• Divine Race Mental Health Services
• Divine Total Care LLC
• Bruce Duane Dixon, R.PH.
• Pamela Pipes Dixon, RPH
• DM Retirement Home LLC

• Personal Care Attendant in Richmond, TX
• Providers in Richmond, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.