Active NPI
Divinetouch Health Services
- Home Health Agency
- Garland, TX
National Provider Identifier
1497943534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Ownership
- Proprietary
- Certified
- Jun 29, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vivian Ngang | 5% Or Greater Direct Ownership Interest | Nov 17, 2020 | 50% |
| Corporate Director | Nov 17, 2020 | 50% | |
| Operational/Managerial Control | Nov 17, 2020 | 50% | |
| George Foncham | 5% Or Greater Direct Ownership Interest | Jan 23, 2024 | 50% |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.