Divine Case Management,LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DIVINE CASE MANAGEMENT,LLC

Practice address

6007 Fiancial Plaza Suite #107
Shreveport, LA 71129

Phone

(318) 683-3553

Fax

(318) 683-3554

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Angelia D. Stewart

Title

Program Director

Phone

(318) 683-3553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1720302839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 FIANCIAL PLAZA SUITE #107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-683-3553",
            "fax_number": "318-683-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 FIANCIAL PLAZA SUITE #107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-683-3553",
            "fax_number": "318-683-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CASE MANAGEMENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-683-3553"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Marie Disotell, NP
• Richard Nathan Disotell, CRNA
• Divine Beauty Supply Inc
• Divine Behavioral Health, LLC
• Divine Case Management LLC
• Divine Case Management,LLC
• Divine Health Care Service
• Divine Healthcare Staffing and Transportation Services
• Alfra Dixon
• Emma Dixon

• Case Management Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Management Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.