Divine Trinity Outreach Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE TRINITY OUTREACH CENTER

Practice address

2544 Hernando Rd
Memphis, TN 38106-8314

Phone

(901) 265-6146

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Annie Mae Ivory, B.S., CADAC

Title

Executive Director

Phone

(901) 265-6146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1861050882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 HERNANDO RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381068314",
            "telephone_number": "901-249-4959",
            "fax_number": "901-308-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 HERNANDO RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381068314",
            "telephone_number": "901-265-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRINITY OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-265-6146",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., CADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren C Ditta, M.D.
• Diversified Healthcare
• Divine Caring Home Health Inc
• Divine Intervention Home Care Agency LLC
• Divine Intervention Transportation Services PLLC
• Division of Clinical Neurosciences, LLC
• Alexandria Delynn Dixon
• Brett Eugene Dixon
• Catherine A. Dixon, LPC
• Chelsey Dixon, LCSW

• Community/Behavioral Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.