DIVINE HOME CARE CHANGES
NPI 1174132476
In Home Supportive Care in Vicksburg, MS

Active since July 23, 2020
106 ETHEL DR, VICKSBURG, MS 39180(919) 339-1854 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Jul 23, 2020 (2 updates tracked since 2020).

About Divine Home Care Changes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE HOME CARE CHANGES (NPI 1174132476) is a healthcare organization registered as an in home supportive care in Vicksburg, Mississippi and active in the NPI registry since July 2020. The organization lists Chasity Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174132476
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameDIVINE HOME CARE CHANGES
Location Address106 ETHEL DRVicksburg, MS 39180-8905
Mailing AddressPo Box 821878Vicksburg, MS 39182-1878
Organization SubpartNo
Authorized OfficialChasity DavisCeo · (919) 339-1854
Enumeration DateJuly 23, 2020
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1174132476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
106 ETHEL DR, Vicksburg, MS 39180

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Home Care Changes's NPI number?

The NPI number for Divine Home Care Changes is 1174132476. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Divine Home Care Changes located?

Divine Home Care Changes is located at 106 Ethel Dr, Vicksburg, MS 39180. The listed phone number is (919) 339-1854.

What is Divine Home Care Changes's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Divine Home Care Changes was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.