Divine Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HOME CARE LLC

Doing business as

Acti-Kare Responsive In Home Care

Practice address

27822 Burchfield Grove LN
Katy, TX 77494-5206

Phone

(609) 231-8026

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By 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

Success Aigbogun

Title

Administrator

Phone

(609) 231-8026

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In Home Care Doing business as

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1306319439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27822 BURCHFIELD GROVE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27822 BURCHFIELD GROVE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945206",
            "telephone_number": "609-231-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "AIGBOGUN",
        "authorized_official_first_name": "SUCCESS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-231-8026"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Distefano, LCSW
• Rebecca Jane Divack
• Divine Caring Hands
• Divine Global Healthcare Inc
• Divine Healers Inc (Healing Hands Healthcare)
• Divinehelpers (Devine care)
• Santosh Dixit, D.O.
• Gregory Michael Dixon, LCSW
• Dizziness and Balance Centers of America, LLC
• Dizziness and Balance Diagnsotics Centers of America, LP

• In Home Supportive Care Agency in Katy, TX
• Providers in Katy, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.