DIVINE BEAUTY BAR, LLC
NPI 1902399942
Durable Medical Equipment & Medical Supplies in Houston, TX

Active since June 13, 2018
4201 CYPRESS CREEK PKWY STE 322, HOUSTON, TX 77068(469) 499-6200(469) 519-5839 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2023, Jun 11, 2019, Jun 16, 2018 (3 updates tracked since 2018).

About Divine Beauty Bar, Llc NPPES

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

DIVINE BEAUTY BAR, LLC (NPI 1902399942) is a healthcare organization registered as a durable medical equipment & medical supplies in Houston, Texas and active in the NPI registry since June 2018. The organization lists Dezaree' Lusk, Owner, as its authorized official.

NPPES Registry Identity

NPI1902399942
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDIVINE BEAUTY BAR, LLC
Location Address4201 CYPRESS CREEK PKWY STE 322Houston, TX 77068-3414
Mailing Address4201 Cypress Creek Pkwy Ste 322Houston, TX 77068-3414 · (469) 499-6200 · Fax (469) 519-5839
Fax(469) 519-5839
Organization SubpartNo
Authorized OfficialDezaree' LuskOwner · (469) 499-6200
Enumeration DateJune 13, 2018
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
NPI 1902399942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X · License 1449535 (TX)
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
4201 CYPRESS CREEK PKWY STE 322, Houston, TX 77068

Other Identifiers 2

Other1449535TX · Texas Department Of Licensing And Registration
OtherC53480TX · Certified Mastectomy Fitter

Medical Equipment Supplier Medicare DMEPOS 21

Medicare supplier enrollment and the product categories Divine Beauty Bar, LLC carries, from the Medicare DMEPOS supplier directory.

Divine Beauty Bar, LLC

DMEPOS supplier · Houston, TX

Does not accept Medicare assignment

Divine Beauty Bar, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)26717302
Medicare Participant SinceAugust 23, 2024
Supplier Location4201 Cypress Creek Pkwy Ste 322Houston, TX 77068
Supplier Specialties
Medical Supply Company Other MSC With Orthotic Personnel

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Osteogenesis Stimulators
Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902399942, enumerated as an "organization" on June 13, 2018.

The provider is located at 4201 CYPRESS CREEK PKWY STE 322 HOUSTON, TX 77068 and the phone number is (469) 499-6200.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.