Active NPI
Divine Services
- Chore Provider
- Minden, LA
National Provider Identifier
1336376458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 15240
- Legal business name
- DIVINE SERVICES
- Practice address
- 201 Pine St
Minden, LA 71055-3213 - Phone
- (318) 382-1366
- NPI assigned
- Jun 16, 2009
- 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
- Kimberly Weston
- Title
- Owner/President
- Phone
- (318) 382-1366
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 15240 | LA | |
| Chore Provider | 372500000X | 15240 | LA | Primary |
Addresses
Primary practice location
201 Pine St
Minden, LA 71055-3213
Mailing address
201 Pine St
Minden, LA 71055-3213
National Provider Directory
National Provider Directory- Tax ID family
- Divine Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Minden, LA
- NPI 1235366154
-
- Personal Care Attendant
- Minden, LA
- NPI 1992932933
-
- Attendant Care Provider
- Minden, LA
- NPI 1740517093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1336376458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PINE ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710553213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PINE ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710553213",
"telephone_number": "318-382-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "WESTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "318-382-1366"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "LA",
"license": "15240",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chore Provider",
"state": "LA",
"license": "15240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.