Divine Home Care Changes
NPI 1174132476ActiveOrganization· In Home Supportive Care· Vicksburg, MS
In Home Supportive Care in Vicksburg, Mississippi, registered in NPPES in July 2020. The authorized official on file is Chasity Davis, Ceo.
Overview
| NPI | 1174132476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2020 |
| Last updated in NPPES | Oct 7, 2022 |
| Certified by provider | Oct 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| In Home Supportive Care Primary | 253Z00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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