Divine Home Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME HEALTH CARE SERVICES

Practice address

308, Autumn Park
Fort-Worth, TX 76140

Phone

(817) 350-4867

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Olasimbo Ifasewa Odutayo, LVN

Title

Adminstator

Phone

(817) 350-4867

Specialties & licenses 1

Addresses

Other names 1

• divine health care services Other name

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1760618474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308, AUTUMN PARK",
            "city": "FORT-WORTH",
            "state": "TX",
            "postal_code": "76140",
            "telephone_number": "817-350-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308, AUTUMN PARK",
            "city": "FORT-WORTH",
            "state": "TX",
            "postal_code": "76140",
            "telephone_number": "817-350-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "ODUTAYO",
        "authorized_official_first_name": "OLASIMBO",
        "authorized_official_middle_name": "IFASEWA",
        "authorized_official_title_or_position": "ADMINSTATOR",
        "authorized_official_telephone_number": "817-350-4867",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "divine health care services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Fort-Worth, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.