Divinity Healthcare, PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011556 Issued in TX

Legal business name

DIVINITY HEALTHCARE, PLLC

Practice address

3213 Ih 30
Ste. 205
Mesquite, TX 75150-2606

Phone

(214) 929-7373

Fax

(972) 613-0950

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Kalu

Title

Administrator

Phone

(214) 929-7373

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1477653202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 IH 30",
            "address_2": "STE. 205",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502606",
            "telephone_number": "214-929-7373",
            "fax_number": "972-613-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 IH 30",
            "address_2": "STE. 205",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502606",
            "telephone_number": "214-929-7373",
            "fax_number": "972-613-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-929-7373"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009739",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falin Dillard
• Jeanette Dillow, RN, ANP-BC
• Tori Dismuke Eudy, LPC
• Divine Injury Clinic & Rehab, P.C.
• Divine Mercy Housecalls, LLC
• Myesha Dixon
• CHI DO, OD
• Terry DO, D.C.
• Francis Duc Doan, PHARM.D.
• Doctors Hospice, Inc.

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.