Organization Active NPI

Divine Professionals Healthcare Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1811226764
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013159 Issued in TX
Legal business name
DIVINE PROFESSIONALS HEALTHCARE INC.
Practice address
7324 Southwest Fwy Ste 601
Houston, TX 77074
Phone
(832) 987-1984
Fax
(832) 539-1952
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Patrick Iloanya
Title
Administrator/Director
Phone
(832) 987-1984

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 013159 TX Primary
Secured Medical Transport (VAN) 343800000X

Addresses

Primary practice location

7324 Southwest Fwy Ste 601
Houston, TX 77074

Mailing address

7322 Southwest Fwy Ste 868
Houston, TX 77074-2137
Phone (832) 987-1984

Other identifiers 1

IdentifierTypeStateIssuer
326076201MedicaidTX

National Provider Directory

National Provider Directory

Locations

7324 Southwest Fwy
Ste 601
Houston, TX 77074
Phone (713) 776-2551

7322 Southwest Fwy
Ste 868
Houston, TX 77074
Phone (832) 433-7024

2440 Texas Pkwy
Ste 390
Missouri City, TX 77489
Phone (832) 987-1984

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1811226764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 868",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742137",
            "telephone_number": "832-987-1984",
            "fax_number": "832-539-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "832-987-1984",
            "fax_number": "832-539-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROFESSIONALS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ILOANYA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "832-987-1984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013159",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326076201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.