Omni Divine Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMNI DIVINE HEALTH SERVICES LLC

Practice address

17743 Planters Path LN
Richmond, TX 77407-5182

Phone

(281) 787-7789

Fax

(832) 363-3649

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Joy C U Moses, RN,BSC(NUR),MED.

Title

Administrator/Alt Don

Phone

(281) 787-7789

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1639435712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17743 PLANTERS PATH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075182",
            "telephone_number": "281-787-7789",
            "fax_number": "832-363-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17743 PLANTERS PATH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075182",
            "telephone_number": "281-787-7789",
            "fax_number": "832-363-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DIVINE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "C U",
        "authorized_official_title_or_position": "ADMINISTRATOR/ALT DON",
        "authorized_official_telephone_number": "281-787-7789",
        "authorized_official_credential": "RN,BSC(NUR),MED."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "NOT YET LICENSED",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.