Organization Active NPI

Divine Purpose Homecare, LLC

  • Home Health Agency
  • Harvey, LA
National Provider Identifier
1851562052
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE PURPOSE HOMECARE, LLC
Practice address
6 Sherbrooke CT
Harvey, LA 70058-7454
Phone
(504) 361-8242
Fax
(504) 361-3700
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mrs. Amanda H Wilkerson
Title
Administrator
Phone
(504) 361-8242

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

6 Sherbrooke CT
Harvey, LA 70058-7454

Mailing address

15 5TH St
Gretna, LA 70053-4744
Phone (504) 361-8242

Other identifiers 3

IdentifierTypeStateIssuer
1905976MedicaidLA
1906271MedicaidLA
1364797MedicaidLA

National Provider Directory

National Provider Directory

Locations

15 5th St
Gretna, LA 70053

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1851562052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534744",
            "telephone_number": "504-361-8242",
            "fax_number": "504-361-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHERBROOKE CT",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587454",
            "telephone_number": "504-361-8242",
            "fax_number": "504-361-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PURPOSE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-361-8242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905976",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906271",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.