Divine Home Care Changes
NPI 1174132476 · In Home Supportive Care Agency · Vicksburg, MS
Divine Home Care Changes is a In Home Supportive Care Agency organization in Vicksburg, MS (NPI 1174132476).
Provider details
- NPI number
- 1174132476
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Chasity Davis, Ceo(919) 339-1854
Specialties & taxonomies
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Frequently asked questions
- What is Divine Home Care Changes's NPI number?
- Divine Home Care Changes's National Provider Identifier (NPI) is 1174132476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Home Care Changes?
- Divine Home Care Changes is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Divine Home Care Changes located?
- Divine Home Care Changes's practice location on file with NPPES is 106 Ethel Dr, Vicksburg, MS 39180-8905.
- What is Divine Home Care Changes's phone number?
- The practice phone number listed in the NPPES registry for Divine Home Care Changes is (919) 339-1854.
- Who is the authorized official for Divine Home Care Changes?
- The authorized official listed on Divine Home Care Changes's NPPES record is Chasity Davis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Home Care Changes's NPI active?
- Yes — Divine Home Care Changes's NPI (1174132476) is active in the NPPES registry as of the last update on 2022-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.