Heart of Texas Divine Living Assistance Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEART OF TEXAS DIVINE LIVING ASSISTANCE SERVICES LLC

Doing business as

Divine Living Assistance Services

Practice address

492 Quail Haven Rd
China Spring, TX 76633-2841

Phone

(254) 498-5067

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer L Kidd

Title

Administrator/Owner

Phone

(254) 498-5067

Specialties & licenses 1

Addresses

Other names 1

• Divine Living Assistance Services Doing business as

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1811260870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 QUAIL HAVEN RD",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766332841",
            "telephone_number": "254-498-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 QUAIL HAVEN RD",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766332841",
            "telephone_number": "254-498-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS DIVINE LIVING ASSISTANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "254-498-5067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Living Assistance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Michael Daniel
• Manuel Harty Edquist, PH.D.
• Michelle M Graeter, LVN
• Taylor Renee Graves, M.S. CF-SLP
• Stephanie Habermann, M.S., CCC-SLP
• Carlla Hill
• Kathleen Hill, OTR
• Melissa Hay Ishio, LCSW
• J T Davis, LLC
• Pamela Johnston, RN

• In Home Supportive Care Agency in China Spring, TX
• Providers in China Spring, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.