Divine Miracle Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE MIRACLE HOME CARE LLC

Practice address

3201 E Pioneer Pkwy
Arlington, TX 76010-5345

Phone

(682) 347-4044

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Folake Obioma

Title

President

Phone

(682) 252-2432

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1760004287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105345",
            "telephone_number": "682-347-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MIRACLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "OBIOMA",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-252-2432"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diverse Family Services, LLC
• Divine Dental Group
• Divine E and K Healthcare Services, Inc.
• Divine Health Care Services LLC
• Divine Light Psychiatry Services
• Divine Torch Health Services, Inc.
• Divine Victory Healthcare, LLC
• Candace Sharaine Dixon, RPH, PHARMD
• Linda F Dixon
• Rylee Dixon

• Home Health Agency in Arlington, TX
• Providers in Arlington, 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 Apr 29, 2024; 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.