Divine Mercy Health Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIVINE MERCY HEALTH SERVICES LLC

Doing business as

Divine Mercy Hospice Services

Practice address

1641 E Flamingo Rd Ste 8
Las Vegas, NV 89119-5257

Phone

(702) 202-0763

Fax

(702) 202-1293

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Delsa A Dagalea, RN

Title

Administrator

Phone

(702) 202-0763

Specialties & licenses 1

Addresses

Other names 1

• Divine Mercy Hospice Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291544

Legal name

DIVINE MERCY HEALTH SERVICES LLC

Doing business as

DIVINE MERCY HOSPICE SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 3, 2016

Last certification

May 31, 2019

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

May 12, 2014 in NV

Enrollment address

6438 S Tenaya Way
Ste 130
Las Vegas, NV 89113-6651

Listed as

Divine Mercy Hospice ServicesCCN 291544

Ownership

For-Profit

Certified

Jun 3, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Salvador Garcia Borromeo III, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1669461919

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1730582941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD",
            "address_2": "STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032208",
            "telephone_number": "702-202-0763",
            "fax_number": "702-202-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-202-0763",
            "fax_number": "702-202-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "DAGALEA",
        "authorized_official_first_name": "DELSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-202-0763",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Mercy Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Divine Health and Wellness Corp
• Divine Health Products
• Divine Healthcare Solutions LLC
• Divine Hospice LLC
• Divine Instructions Behavioral Health Services, LLC
• Divine Mobility & Comfort, Inc
• Divine Providence Inc
• Divine Providence Inc
• Divine Soul Mental Health Pierre-Louis PLLC
• Divine Touch Services Pharmacy & Compounding

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.