Divine Glory Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE GLORY HOMECARE INC

Practice address

1101 Ridge Rd Ste 249
Rockwall, TX 75087-4250

Phone

(469) 300-7724

Fax

(469) 264-5551

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Chigozie Onyerikam, RN

Title

Director

Phone

(317) 454-6979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1902521057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 PARKFORD DR",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750870950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD STE 249",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250",
            "telephone_number": "469-300-7724",
            "fax_number": "469-264-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GLORY HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "ONYERIKAM",
        "authorized_official_first_name": "CHIGOZIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-454-6979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dickson, M.D., PH.D.
• Brittany Dietz
• Aura Mari Digeronimo-Negrete, LPC
• Madison Dillow, PT
• Direct Care Rehab PLLC
• Dmedicus LLC
• Kevin Khoa DO-Nguyen, LMSW
• Thao DO
• Thien-an DO
• Russell Doan

• In Home Supportive Care Agency in Rockwall, TX
• Providers in Rockwall, TX by specialty
• In Home Supportive Care Agency in Texas

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