NPIMap

Organization Active NPI

Dyvine Caring Aidez LLC

  • Personal Care Attendant
  • Hot Springs, AR
National Provider Identifier
1336885516
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
DYVINE CARING AIDEZ LLC
Practice address
835 Central Ave Ste 410
Hot Springs, AR 71901-5351
Phone
(501) 701-4239
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Lueversie Gorden
Title
Partner
Phone
(501) 617-6269

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

835 Central Ave Ste 410
Hot Springs, AR 71901-5351

Mailing address

835 Central Ave Ste 410
Hot Springs, AR 71901-5351
Phone (501) 701-4239

Other identifiers 3

IdentifierTypeStateIssuer
281226797MedicaidAR
281037732MedicaidAR
281123757MedicaidAR

Other names 1

  • Dyvine Caring Aidez LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1336885516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE STE 410",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015351",
            "telephone_number": "501-701-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE STE 410",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015351",
            "telephone_number": "501-701-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYVINE CARING AIDEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "GORDEN",
        "authorized_official_first_name": "LUEVERSIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "501-617-6269"
    },
    "taxonomies": [
        {
            "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": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281226797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281037732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281123757",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyvine Caring Aidez LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.