Divine Intervention Medical Staffing

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE INTERVENTION MEDICAL STAFFING

Practice address

21346 Maple Harvest LN
Humble, TX 77338-2039

Phone

(832) 202-7244

Fax

(713) 734-4364

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Cleon L. Solomon III, LVN

Title

Assistant Administrator

Phone

(832) 202-7244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396963534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21346 MAPLE HARVEST LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382039",
            "telephone_number": "832-202-7244",
            "fax_number": "713-734-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21346 MAPLE HARVEST LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382039",
            "telephone_number": "832-202-7244",
            "fax_number": "713-734-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTION MEDICAL STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "CLEON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "832-202-7244",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.