Divine Companion Care Services

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

DIVINE COMPANION CARE SERVICES

Practice address

616 McDonald Ave
Ruston, LA 71270-4627

Phone

(318) 243-1743

NPI assigned

Feb 10, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Markedra Lynnell Wheatley

Title

Owner

Phone

(318) 243-1743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508365032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MCDONALD AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MCDONALD AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704627",
            "telephone_number": "318-243-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COMPANION CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "MARKEDRA",
        "authorized_official_middle_name": "LYNNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-243-1743",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea D Dillon
• Layne Dishman
• Christina Dison
• Gretchen Senn Dison, MA, LPC
• Jennifer Lynn Ditter, MA, NCC, LPC-S
• Divine Health Primary Care Clinic, LLC (Divine Health and Primary Care Clinic)
• Shiki Tywan Dixon, M. A. CCC-SLP
• Lauren Elisabeth Dollar
• Toni Marie Dorsett, NP
• Trimity Dorsey

• Adult Companion in Ruston, LA
• Providers in Ruston, LA by specialty
• Adult Companion in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.