DIVINITY COMMUNITY LIVING, INC.
DCL · Respite Care

Address: 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032

DIVINITY COMMUNITY LIVING, INC. (NPI# 1295394377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295394377
Entity Type Organization
Organization Name DIVINITY COMMUNITY LIVING, INC.
Other Organization Name DCL (Other Name)
Practice Address 405 Briarwood Dr Ste 108q
Jackson
MS 39206-3032
Practice Telephone 7695727327
Mailing Address 405 Briarwood Dr Ste 108q
Jackson
MS 39206-3032
Mailing Telephone 7695727327
Certification Date 2020-08-12
Enumeration Date 2019-06-11
Last Update Date 2020-08-12
Authorized Official Telephone 6014624513
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 385H00000X Respite Care Respite Care Facility
Y 253Z00000X In Home Supportive Care Agencies

Other Provider/Organization Names

Other Name Type Code
Divinity Community Living, LLC Doing Business As Name
DCL Other Name

Office Location

Street Address 405 BRIARWOOD DR STE 108Q
City JACKSON
State MS
Zip Code 39206-3032

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1841719903 Yolanda Yvette Bell Nurse Practitioner - Family 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1730370297 Fannie Ruth Collier Physical Therapist 911 Rutherford Dr, Jackson, MS 39206 2007-08-08
1558718304 Telehealthone, LLC Nurse Practitioner - Acute Care 225 Meadowbrook Road, Jackson, MS 39206 2016-05-23
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor - Mental Health 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
1790069854 Periodontal Associates of Jackson, P.a. Dentist - Periodontics 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 2011-10-06
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1588809966 Urmila Mota Dietitian, Registered 330 North Mart Plaza, Suite 3, Jackson, MS 39206 2008-12-12
Find all in zip 39206

Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215552005 Demetress Brent Respite Care 2941 Sheila Dr, Jackson, MS 39209-6125 2020-06-08
1518522135 Nj Respite & Riding LLC Respite Care 240 Grawtown Rd, Jackson, NJ 08527-5107 2019-05-08
1336695543 Wbf Choice Healthcare, Inc Respite Care 501 Jacksonian Plz, #12641, Jackson, MS 39211 2016-08-28
1083088835 Golden Ladies & Gentlemen Adult Day Care Respite Care 428 W Northside Dr, Jackson, MS 39206-4636 2015-11-17
1427421387 A Step Ahead Homecare LLC Respite Care 5040 N State St Ste 11, Jackson, MS 39206-4056 2015-11-01
1902272834 Precision Care Service of Ms. Respite Care 2310 Highway 80 W Ste C1122, Jackson, MS 39204-2354 2015-08-14
1104201771 Total Healthcare Network Inc. Respite Care 210 Cooper Rd, Jackson, MS 39212-4805 2015-07-24
1134533896 Kiara Lashae Johnson Respite Care 4560 Methodist Home Rd, Jackson, MS 39213-4201 2014-06-19
1649603697 Anointed Personal Care and Respite Services Respite Care 3800 Yarbro St Apt 305, Jackson, MS 39204-2119 2013-08-14
1124465547 Christian Sitters · Bobbie J. Brown Respite Care 5538 North State Street Ste 106, Jackson, MS 39206 2013-05-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39206

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1134715691 Community Living Services, Inc In Home Supportive Care 1001 28th St S, Fargo, ND 58103-2372 2020-12-17
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1730764689 Educare Community Living Corporation - Nevada Respite Care 2030 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5163 2021-03-12

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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