Organization Active NPI

Divine Lifting Home Care LLC

  • In Home Supportive Care Agency
  • Grand Prairie, TX
National Provider Identifier
1902610082
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE LIFTING HOME CARE LLC
Practice address
924 Pinebrook Dr
Grand Prairie, TX 75052-8883
Phone
(682) 970-2265
NPI assigned
Feb 6, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mrs. Margaret I JimbolaNPI 1245890292
Title
Administrator
Phone
(682) 970-2265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

924 Pinebrook Dr
Grand Prairie, TX 75052-8883

Mailing address

924 Pinebrook Dr
Grand Prairie, TX 75052-8883
Phone (682) 970-2265

Other names 1

  • DIVINE LIFTING HOME CARE SERVICES Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1902610082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 PINEBROOK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528883",
            "telephone_number": "682-970-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 PINEBROOK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528883",
            "telephone_number": "682-970-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIFTING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "JIMBOLA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-970-2265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE LIFTING HOME CARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.