Divine Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE CARE SERVICES, LLC

Practice address

1058 Lomax Road No 2
Hermanville, MS 39086-9754

Phone

(601) 702-0028

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By 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

Shameka Miller

Title

Ceo/Founder

Phone

(601) 702-0028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1356152201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 LOMAX ROAD NO 2",
            "city": "HERMANVILLE",
            "state": "MS",
            "postal_code": "390869754",
            "telephone_number": "601-702-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 LOMAX ROAD NO 2",
            "city": "HERMANVILLE",
            "state": "MS",
            "postal_code": "390869754",
            "telephone_number": "601-702-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "601-702-0028"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hermanville, MS
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• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.