Organization Active NPI

Divine Care Hospice LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1699497487
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CARE HOSPICE LLC
Practice address
8330 LBJ Fwy Ste 460
Dallas, TX 75243-1210
Phone
(469) 733-7278
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Grace Anioke
Title
Director
Phone
(469) 733-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8330 LBJ Fwy Ste 460
Dallas, TX 75243-1210

Mailing address

8330 LBJ Fwy Ste 460
Dallas, TX 75243-1210
Phone (469) 733-7278

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.divinecarehospice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204004351 TX Part A Provider - Hospice 1355834607 Practice locations: Carrollton, TX

Hospice certification: CCN A91785

Legal name
DIVINE CARE HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 29, 2025
Last certification
Apr 10, 2025
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
1500 East Beltline Road
Suite B
Carrollton, TX 75006-2963

Care Compare: Hospice

Medicare Care Compare
Listed as
Divine Care Hospice LLCCCN A91785 · All quality measures
Certified
May 29, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1500 E Belt Line Rd
Ste B
Carrollton, TX 75006
Phone (469) 463-4302

8330 Lyndon B Johnson Fwy
Ste 460
Dallas, TX 75243
Phone (945) 241-4542

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Abdul H. Munis Individual Contracted Managing EmployeeMD; Sep 7, 2022
Grace Anioke Individual 5% Or Greater Direct Ownership Interest Sep 7, 2022
Chioma Onyekwelu Individual W-2 Managing EmployeeAd; Sep 7, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1699497487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LBJ FWY STE 460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431210",
            "telephone_number": "469-733-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LBJ FWY STE 460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431210",
            "telephone_number": "469-733-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "ANIOKE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-733-7278"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.divinecarehospice.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8330 Lbj Fwy Ste 460",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.