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JOHNSON DIAGNOSTIC LLC
NPI 1477448249
In Home Supportive Care in Purvis, MS

Active since June 11, 2025CLIA 25D2328565 · Waiver
121 FRONT STREET, PURVIS, MS 39475(833) 385-3874(601) 861-4433 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Johnson Diagnostic Llc NPPES

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

JOHNSON DIAGNOSTIC LLC (NPI 1477448249), doing business as Divine Home Care Services, is a healthcare organization registered as an in home supportive care in Purvis, Mississippi and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Wankethia Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477448249
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameJOHNSON DIAGNOSTIC LLC
Location Address121 FRONT STREETPurvis, MS 39475
Mailing Address121 Front StreetPurvis, MS 39475 · (833) 385-3874 · Fax (601) 861-4433
Phone(833) 385-3874
Fax(601) 861-4433
Organization SubpartYes
Authorized OfficialWankethia JohnsonCeo · (833) 385-3874
Enumeration DateJune 11, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1477448249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
121 FRONT STREET, Purvis, MS 39475
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Other Names 1

Doing Business AsDivine Home Care Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2328565

Johnson Diagnostic Services LLC · Purvis, MS
Active · expires Aug 11, 2027
CLIA Number25D2328565
Laboratory TypePrivate Agency
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorWankethia Johnson
Laboratory Phone(833) 385-3874
Laboratory LocationJohnson Diagnostic Services LLC121 Front St, Purvis, MS 39475
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DIVINE HOME CARE SERVICES
In Home Supportive Care
121 FRONT STREET
PURVIS, MS 39475
Lamar County (833) 385-3874

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 Johnson Diagnostic LLC's NPI number?

The NPI number for Johnson Diagnostic LLC is 1477448249. It was assigned to this organization in the NPPES registry on June 11, 2025. The provider is doing business as Divine Home Care Services.

Where is Johnson Diagnostic LLC located?

Johnson Diagnostic LLC is located at 121 Front Street, Purvis, MS 39475. The listed phone number is (833) 385-3874.

What is Johnson Diagnostic LLC's specialty?

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

Does Johnson Diagnostic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2328565) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnson Diagnostic LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.