I Devine-Care Medical DME & Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0109451 Issued in TX

Legal business name

I DEVINE-CARE MEDICAL DME & SUPPLY

Practice address

3201 Interstate Highway 30
Suite C2
Mesquite, TX 75150-2605

Phone

(972) 279-0643

Fax

(972) 279-0543

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ikechukwu Stanislaus IwunnahNPI 1235463084

Title

President/Owner

Phone

(214) 215-9026

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ikechukwu Stanislaus Iwunnah

  • Contractor
  • Mesquite, TX
  • NPI 1235463084
  NPD (past) Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1942534516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 INTERSTATE HIGHWAY 30",
            "address_2": "SUITE C2",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502605",
            "telephone_number": "972-279-0643",
            "fax_number": "972-279-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 INTERSTATE HIGHWAY 30",
            "address_2": "SUITE C2",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502605",
            "telephone_number": "972-279-0643",
            "fax_number": "972-279-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DEVINE-CARE MEDICAL DME & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "IWUNNAH",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "STANISLAUS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-215-9026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0109451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pollye Hunter, PT
• Melissa Hurst, OT
• Baotran Ngoc Huynh
• Laura Huynh, PHARM D
• Terry Huynh, O.D.
• Carolina Ibarra
• Kasandra Ibarra
• Shancie Ibegbu, RN, LVN
• Michael Chiji Ibeke, NURSE
• Icon Healthcare Services Inc

• Durable Medical Equipment & Medical Supplies in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.