Divine Health Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HEALTH SERVICES, LLC

Practice address

807 Nashville Hwy
Columbia, TN 38401-2418

Phone

(931) 840-4119

Fax

(931) 840-4121

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Willie D Esmond

Title

Partner

Phone

(931) 363-3056

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1770899767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384021111",
            "telephone_number": "931-840-4119",
            "fax_number": "931-840-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 NASHVILLE HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012418",
            "telephone_number": "931-840-4119",
            "fax_number": "931-840-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ESMOND",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "931-363-3056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Colette Dierking
• Rochelle Denise Diestelkamp, CCC-SLP
• Brett Dillard, DDS
• Tabetha R Dirla, LPC-MHSP
• Divine Health Services LLC
• Dana Dix, PHARMD, MBA
• Elizabeth Efird Dixon, LCSW
• Jalicia Deanne Dixon, MSW
• John Michael Dixon, LPC/MHSP
• Linda D Dixon, LPC

• In Home Supportive Care Agency in Columbia, TN
• Providers in Columbia, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.