The Divine WJC, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

THE DIVINE WJC, LLC

Doing business as

Prestigious Carriers

Practice address

1011 Terranova LN
Houston, TX 77090-1236

Phone

(281) 652-7010

NPI assigned

Jan 26, 2022

Organization subpart

Yes

Parent organization

THE DIVINE WJC LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Waundlyan L Pete

Title

Owner

Phone

(281) 652-7010

Specialties & licenses 3

Addresses

Other names 1

• PRESTIGIOUS CARRIERS Doing business as

Part of

The Divine WJC LLC

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1962154351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73347",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733347",
            "telephone_number": "281-652-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TERRANOVA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901236",
            "telephone_number": "281-652-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVINE WJC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DIVINE WJC LLC",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "PETE",
        "authorized_official_first_name": "WAUNDLYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-652-7010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGIOUS CARRIERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRESTIGIOUS CARRIERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Houston, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.