NPIMap

Organization Active NPI

Divinity Cares Incorporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lake Charles, LA
National Provider Identifier
1942512165
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
DIVINITY CARES INCORPORATION
Practice address
1605 Broad St
Suite 16
Lake Charles, LA 70601-4602
Phone
(337) 497-1871
Fax
(337) 497-1876
NPI assigned
Jul 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Ms. Edwina Harmon Bushnell
Title
Ceo/Founder
Phone
(337) 497-1871

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LA
Community Based Hospice Care Agency 251G00000X LA
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X LA Primary
Exclusive Provider Organization 302F00000X LA
Durable Medical Equipment & Medical Supplies 332B00000X LA
Customized Equipment (DME) 332BC3200X LA
Dialysis Equipment & Supplies (DME) 332BD1200X LA
Oxygen Equipment & Supplies (DME) 332BX2000X LA
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X LA
In Home Supportive Care Agency 253Z00000X LA

Addresses

Primary practice location

1605 Broad St
Suite 16
Lake Charles, LA 70601-4602

Mailing address

1605 Broad St Ste 16
Lake Charles, LA 70601-4602
Phone (337) 497-1871

National Provider Directory

National Provider Directory

Locations

1605 Broad St
Ste 16
Lake Charles, LA 70601
Phone (337) 497-1871

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1942512165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 BROAD ST STE 16",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014602",
            "telephone_number": "337-497-1871",
            "fax_number": "337-497-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BROAD ST",
            "address_2": "SUITE 16",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014602",
            "telephone_number": "337-497-1871",
            "fax_number": "337-497-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY CARES INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BUSHNELL",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "337-497-1871",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.