NPIMap

Organization Active NPI

Divine Case Management LLC

  • Case Management Agency
  • Shreveport, LA
National Provider Identifier
1881860328
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM 27002 Issued in LA
Legal business name
DIVINE CASE MANAGEMENT LLC
Practice address
7530 Greenwood Road
Shreveport, LA 71119
Phone
(318) 938-5375
Fax
(318) 938-5376
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Mary K Caldwell, ADMINISTRATOR
Title
Administrator
Phone
(318) 938-5375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM 27002 LA Primary

Addresses

Primary practice location

7530 Greenwood Road
Shreveport, LA 71119

Mailing address

7530 Greenwood Road
Shreveport, LA 71047
Phone (318) 938-5375

National Provider Directory

National Provider Directory
Tax ID family
Divine Case Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1881860328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 GREENWOOD ROAD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71047",
            "telephone_number": "318-938-5375",
            "fax_number": "318-938-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 GREENWOOD ROAD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71119",
            "telephone_number": "318-938-5375",
            "fax_number": "318-938-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-938-5375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM 27002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.