Active NPI
Divine Health Services LLC
- Home Health Agency
- Columbia, TN
National Provider Identifier
1861712408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIVINE HEALTH SERVICES LLC
- Practice address
- 807 Nashville Hwy. Ste. 10
Suite 210
Columbia, TN 38401 - Phone
- (931) 840-4119
- Fax
- (931) 840-4121
- NPI assigned
- Jun 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Willie D Esmond
- Title
- Owner
- Phone
- (931) 840-4119
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
807 Nashville Hwy. Ste. 10
Suite 210
Columbia, TN 38401
Mailing address
PO Box 1111 807 Nashville Hwy Ste 10
Ste 10
Columbia, TN 38401
Phone (931) 840-4119
National Provider Directory
National Provider DirectoryLocations
807 Nashville Hwy
Ste 10
Columbia, TN 38401
Phone (931) 381-5470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1861712408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111 807 NASHVILLE HWY STE 10",
"address_2": "STE 10",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"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. STE. 10",
"address_2": "SUITE 210",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-840-4119",
"fax_number": "931-840-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-06",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "ESMOND",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-840-4119",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.