Divine Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0080696 Issued in TX

Legal business name

DIVINE MEDICAL EQUIPMENT, INC

Practice address

11311 Audelia Rd Apt 110
Dallas, TX 75243-7331

Phone

(214) 221-0746

Fax

(214) 221-0749

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Kanayo Onyechi

Title

Chief Financial Officer

Phone

(214) 221-0746

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982749370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 AUDELIA RD APT 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437331",
            "telephone_number": "214-221-0746",
            "fax_number": "214-221-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 AUDELIA RD APT 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437331",
            "telephone_number": "214-221-0746",
            "fax_number": "214-221-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONYECHI",
        "authorized_official_first_name": "KANAYO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-221-0746"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0080696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0080696",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diversicare Treemont LLC (Treemont Healthcare and Rehabilitation Center)
• Divine Behavioral Health Clinic PLLC
• Divine Care Hospice LLC
• Divine Healing Space, PLLC
• Divine Healing Supplies
• Divine Medical Supply and Equipments LLC
• Divine Mercy Hospice, PLLC (Envoy Hospice)
• Laura Michelle Divine, M.D.
• Divineheart Healthcare, Inc.
• Kratika Dixit, BDS, MDS, MSD

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, 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 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.