So Divine Elderly Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SO DIVINE ELDERLY HEALTH CARE

Practice address

5116 Yvette Ave # B
El Paso, TX 79924-4608

Phone

(915) 920-0754

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Chestina Page, ETC

Title

Owner

Phone

(915) 920-0754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1578070900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 YVETTE AVE # B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244608",
            "telephone_number": "915-920-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 YVETTE AVE # B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244608",
            "telephone_number": "915-920-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO DIVINE ELDERLY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHESTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-920-0754",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in El Paso, TX
• Providers in El Paso, 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 Jan 8, 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.