DIVINE HOME HEALTH AGENCY, LLC – Nursing Care Agency, NPI 1013951136

DIVINE HOME HEALTH AGENCY, LLC is a healthcare provider. based in Lancaster, Texas. specializing in Nursing Care Agency. The organization holds a License No. 679401 (TX). The NPI Number for DIVINE HOME HEALTH AGENCY, LLC is 1013951136

Main info

Organization
Name
DIVINE HOME HEALTH AGENCY, LLC
NPI
1013951136
Phone
(214) 221-0790
Address
2700 W PLEASANT RUN RD STE 380
Authorized Official
CALISTA IKWUAKOLAM CFO
Enumeration Date
16 June 2006
Last Update Date
20 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DIVINE HOME HEALTH AGENCY, LLC

  • 2700 W PLEASANT RUN RD STE 380

    LANCASTER, TX 751461016

    Phone: (214) 221-0790

    Fax: (972) 685-7898

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120426000658OHome Health AgencyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75146)

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Reviews

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Frequently asked questions

Can I cross-check DIVINE HOME HEALTH AGENCY, LLC using NPI 1013951136?
NPI 1013951136 belongs to DIVINE HOME HEALTH AGENCY, LLC; compare other details if you need extra assurance.
Is DIVINE HOME HEALTH AGENCY, LLC still an active registrant?
DIVINE HOME HEALTH AGENCY, LLC carries an active NPI according to the public dataset.
What area of care is associated with DIVINE HOME HEALTH AGENCY, LLC?
DIVINE HOME HEALTH AGENCY, LLC's record emphasizes Nursing Care Agency. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DIVINE HOME HEALTH AGENCY, LLC?
Travel planning: use Lancaster, Texas as the reference point for DIVINE HOME HEALTH AGENCY, LLC, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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