Divinity Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINITY HOME CARE LLC

Practice address

14872 Bellamy CT
Fishers, IN 46037-5545

Phone

(317) 945-3947

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Dexter D Crouch

Title

Owner

Phone

(317) 945-3947

Specialties & licenses 2

Addresses

Other names 1

• Divinity Home Care LLC Former legal business name

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1457127789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14872 BELLAMY CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375545",
            "telephone_number": "317-945-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14872 BELLAMY CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375545",
            "telephone_number": "317-945-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-945-3947"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divinity Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Divinity Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lora Dingledine
• Jenna Dinkel
• Rebecca Dipiro, BCBA
• Susie M Ditsworth, APRN
• Divine Express Transport LLC
• Gregory Dixon
• Daniela Gueorguieva Djodjeva, M.D.
• Quoc DO
• Jennifer Dodge
• Gabrielle Dodridge

• In Home Supportive Care Agency in Fishers, IN
• Providers in Fishers, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.