Organization Active NPI

Divinetouch Health Services

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1497943534
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINETOUCH HEALTH SERVICES
Practice address
4402 Broadway Blvd
Suite #7
Garland, TX 75043
Phone
(214) 703-0295
Fax
(214) 703-0296
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Onungwanta Onungwa
Title
Owner
Phone
(972) 839-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4402 Broadway Blvd
Suite #7
Garland, TX 75043

Mailing address

4402 Broadway Blvd
Suite #7
Garland, TX 75043
Phone (214) 703-0295

Other names 1

  • DIVINE TOUCH HEALTH SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080908000091 TX Part A Provider - Home Health Agency 8921174418 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, TX

Home health agency certification: CCN 747142

Legal name
DIVINE TORCH HEALTH SERVICES INC
Doing business as
DIVINE TORCH HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 29, 2009
Last certification
Aug 17, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 2009 in TX
Enrollment address
110 W Randol Mill Rd
Ste 242
Arlington, TX 76011-4731

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Touch Health ServicesCCN 747142
Ownership
Proprietary
Certified
Jun 29, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

110 W Randol Mill Rd
Ste 114
Arlington, TX 76011
Phone (817) 225-2160

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vivian Ngang Individual 5% Or Greater Direct Ownership InterestAdministrator Nov 17, 2020 50%
Corporate DirectorPresident/Administrator Nov 17, 2020 50%
Operational/Managerial ControlPresident/Administrator Nov 17, 2020 50%
George Foncham Individual 5% Or Greater Direct Ownership InterestManagerial Jan 23, 2024 50%
Corporate DirectorSecretary Jan 23, 2024 50%

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1497943534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD",
            "address_2": "SUITE #7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "214-703-0295",
            "fax_number": "214-703-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD",
            "address_2": "SUITE #7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "214-703-0295",
            "fax_number": "214-703-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINETOUCH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "ONUNGWA",
        "authorized_official_first_name": "ONUNGWANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-839-5585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE TOUCH HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.