DIVINE HEALTH SERVICES LLC
NPI 1255104485
Home Health in Zapata, TX

NPI Status: Active since October 31, 2023

Contact Information

124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813
ZAPATA, TX
ZIP 78076
Phone: (956) 750-6592

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  • Organization
  • Home Health
  • CLIA Number: 45D2304191
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 05-07-2026

About DIVINE HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Divine Health Services Llc, a provider established in Zapata, Texas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1255104485 assigned on October 2023. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Emmanuel Eduardo Elizondo (Owner)

NPI
1255104485
Provider Name
DIVINE HEALTH SERVICES LLC
Entity Type
Organization
Location Address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813 ZAPATA, TX 78076
Location Phone
(956) 750-6592
Mailing Address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813 ZAPATA, TX 78076
Mailing Phone
(956) 265-9075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2023
Last Update Date
02-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251G00000XAgencies

Hospice Care, Community Based

 
23747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EMMANUEL EDUARDO ELIZONDO

Authorized Official Title
OWNER
Authorized Official Phone
(956) 750-6592

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2304191
Facility Type
Home Health Agency
Certificate Effective Date
May 08, 2024
Certificate Expiration Date
May 07, 2026
Laboratory Director
CHRISTINA BELEN TREVINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Divine Health Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255104485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105208416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 2 + 0 + 8 + 4 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1255104485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255104485, enumerated in the NPI registry as an "organization" on October 31, 2023

The provider is located at 124 S Us Highway 83 Unit 8, Zapata, Tx 78076-3813 Zapata, Tx 78076 and the phone number is (956) 750-6592

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 45D2304191 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 31, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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