Divine Care Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087195 Issued in KS

Legal business name

DIVINE CARE HOMES LLC

Practice address

5319 S Spruce St
Wichita, KS 67216-3246

Phone

(316) 796-4147

Fax

(316) 529-4510

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Rachel Thomas

Title

Owner/Operator

Phone

(316) 796-4147

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1659612802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S SPRUCE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672163246",
            "telephone_number": "316-796-4147",
            "fax_number": "316-529-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S SPRUCE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672163246",
            "telephone_number": "316-796-4147",
            "fax_number": "316-529-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-796-4147"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Tang Disasi
• Dustin Allen Dishman
• Stewart E Dismuke, MD, MPH
• Heather Disney-Black
• Diversified Family Services LLC
• Amanda Gail Divine, NURSE
• Jerad Chance Divine, D.D.S.
• Sapana Dixit, RPT
• Candace Nicole Dixon, APRN
• Ceandra Dixon

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.