Organization Active NPI

Divine Health Services LLC

  • Home Health Agency
  • Columbia, TN
National Provider Identifier
1861712408
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 13, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.