Divine Covenant Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010759 Issued in TX

Legal business name

DIVINE COVENANT HEALTHCARE INC.

Practice address

12660 Stafford Rd
Ste 1138
Stafford, TX 77477-3522

Phone

(713) 240-1902

Fax

(713) 257-6631

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Olubanji Winful

Title

Administrator

Phone

(713) 240-1902

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972696144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 STAFFORD RD",
            "address_2": "STE 1138",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773522",
            "telephone_number": "713-240-1902",
            "fax_number": "713-257-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 STAFFORD RD",
            "address_2": "STE 1138",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773522",
            "telephone_number": "713-240-1902",
            "fax_number": "713-257-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COVENANT HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINFUL",
        "authorized_official_first_name": "OLUBANJI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-240-1902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED HOME HEALTH SERV",
            "identifier": "010759",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL ASSISTANT SERVIC",
            "identifier": "010759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Michael Diffey
• Brittany Seat Dilleshaw, OTR
• Briana Dimes
• Anh Kim Dinh, NP-C
• Nhu Quynh Dinh, RN
• Divine Surgical Services LLC
• Divinely Me Holistic Center
• Divinetouch Health Services Inc
• Jessica Lovie Dixon
• DN Palliative Hospice LLC

• Home Health Agency in Stafford, TX
• Providers in Stafford, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.