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DCL
NPI 1295394377
In Home Supportive Care in Jackson, MS

Active since June 11, 2019
405 BRIARWOOD DR STE 101B, JACKSON, MS 39206(769) 572-7111(769) 572-7327 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2024, Aug 12, 2020, Jun 11, 2019 (3 updates tracked since 2019).

About Dcl NPPES

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

DCL (NPI 1295394377), doing business as Divinity Community Living, Llc, is a healthcare organization registered as an in home supportive care in Jackson, Mississippi and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Mccomb and lists Susan Y Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295394377
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameDIVINITY COMMUNITY LIVING, INC.
Location Address405 BRIARWOOD DR STE 101BJackson, MS 39206-3029
Mailing Address405 Briarwood Dr Ste 101bJackson, MS 39206-3029 · (769) 572-7111 · Fax (769) 572-7327
Phone(769) 572-7111
Fax(769) 572-7327
Organization SubpartNo
Authorized OfficialSusan Y WilliamsCeo · (601) 462-4513
Enumeration DateJune 11, 2019
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1295394377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedRespite CareTaxonomy 385H00000X
405 BRIARWOOD DR STE 101B, Jackson, MS 39206
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Other Names 2

Other NameDcl
Doing Business AsDivinity Community Living, Llc

Secondary Practice Location 1

Location 1529 S Broadway St Ste 2McComb, MS 39648-5168 · Phone (769) 572-7111 · Fax (769) 572-7327

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 Divinity Community Living, Inc.'s NPI number?

The NPI number for Divinity Community Living, Inc. is 1295394377. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Divinity Community Living, Inc. located?

Divinity Community Living, Inc. is located at 405 Briarwood Dr Ste 101B, Jackson, MS 39206. The listed phone number is (769) 572-7111.

What is Divinity Community Living, Inc.'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 Divinity Community Living, Inc. was last updated on November 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.