Divine Grace Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE GRACE HOME CARE INC

Practice address

601 S Great Southwest Pkwy Ste 103
Grand Prairie, TX 75051-1057

Phone

(972) 408-6033

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Adebowale M Adeniran, CEO

Title

Owner

Phone

(972) 408-6033

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1720699507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LONGBOW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527504",
            "telephone_number": "972-408-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GREAT SOUTHWEST PKWY STE 103",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511057",
            "telephone_number": "972-408-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ADENIRAN",
        "authorized_official_first_name": "ADEBOWALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-408-6033",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OTHER",
            "affiliation": "N",
            "address_1": "601 S Great Southwest Pkwy Ste 103",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750511057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• DME Supply Company LLC
• DNG Home Healthcare, LLC

• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, 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 Aug 13, 2020; 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.