Organization Active NPI

Divicare Home Healthcare Services LLC

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1316431547
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVICARE HOME HEALTHCARE SERVICES LLC
Practice address
8005 N Macarthur Blvd Apt 2017
Irving, TX 75063-7648
Phone
(469) 583-9678
Fax
(214) 889-7700
NPI assigned
Jun 20, 2018
Last updated
Apr 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Authorized official

Name
Edith Chinyere Montgomery, RNNPI 1326544610
Title
Owner
Phone
(469) 583-9678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Attendant Care Provider 3747A0650X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

8005 N Macarthur Blvd Apt 2017
Irving, TX 75063-7648

Mailing address

8005 N Macarthur Blvd Apt 2017
Irving, TX 75063-7648
Phone (469) 583-9678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1316431547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 N MACARTHUR BLVD APT 2017",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637648",
            "telephone_number": "469-583-9678",
            "fax_number": "214-889-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 N MACARTHUR BLVD APT 2017",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637648",
            "telephone_number": "469-583-9678",
            "fax_number": "214-889-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVICARE HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "CHINYERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-583-9678",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.