Divine Love Residential Homes, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DIVINE LOVE RESIDENTIAL HOMES, LLC

Practice address

340 N Sam Houston Pkwy E Ste A160I
Houston, TX 77060-3305

Phone

(469) 986-4822

Fax

(469) 200-8339

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Toni Booth

Title

Administrator/Ceo

Phone

(469) 986-4822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1477025955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE A160I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "469-986-4822",
            "fax_number": "469-200-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE A160I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "469-986-4822",
            "fax_number": "469-200-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LOVE RESIDENTIAL HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "469-986-4822"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Health Care LLC
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• Divine Living Center
• Divine Medical Transportation LLC
• Divine Mother Love Health Care Services Inc
• Divine Nursing Services Inc.
• Divine Palliative and Health Services Inc
• Divine Palliative Hospice Care Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.