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DIVINE HEALTHCARE
NPI 1205234002
Home Health in Jackson, MS

Active since December 09, 2014
3856 NOBLE ST APT 1510, JACKSON, MS 39209(769) 216-7185 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Healthcare NPPES

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

DIVINE HEALTHCARE (NPI 1205234002) is a healthcare organization registered as a home health in Jackson, Mississippi and active in the NPI registry since December 2014. The organization lists Makeba Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1205234002
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINE HEALTHCARE
Location Address3856 NOBLE ST APT 1510Jackson, MS 39209-4949
Mailing Address3856 Noble St Apt 1510Jackson, MS 39209-4949 · (769) 216-7185
Phone(769) 216-7185
Organization SubpartNo
Authorized OfficialMakeba EvansOwner · (769) 216-7185
Enumeration DateDecember 9, 2014
✔ NPI 1205234002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3856 NOBLE ST APT 1510, Jackson, MS 39209
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKEBA EVANS
Home Health Aide
3856 NOBLE ST APT 1510
JACKSON, MS 39209
Hinds County (601) 259-7022

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 Healthcare's NPI number?

The NPI number for Divine Healthcare is 1205234002. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Divine Healthcare located?

Divine Healthcare is located at 3856 Noble St Apt 1510, Jackson, MS 39209. The listed phone number is (769) 216-7185.

What is Divine Healthcare's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Divine Healthcare was last updated on December 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.