MEDICARE: DIVINE CARE HEALT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	007277	TX

General Provider Information

NPI Number	:	1326169848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE CARE HEALT SERVICES

Provider Business Mailing Address
First Line	:	6850 MANHATTAN BLVD
Second Line	:	SUITE 104
City	:	FORT WORTH
State	:	TX
Zip	:	76120-1227
Country	:	US
Telephone Number	:	817-930-0930
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 MANHATTAN BLVD
Second Line	:	SUITE 104
City	:	FORT WORTH
State	:	TX
Zip	:	76120-1227
Country	:	US
Telephone Number	:	817-930-0930
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MS. JACQUELYN WILLIAMS
Credential	:
Telephone Number	:	817-930-0930

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	11/28/2007

Similar Medicare Providers

1588615215 — TRINITY HOSPICE- CASTLE PEAK, LP
Practice Location Address:

6850 MANHATTAN BLVD
FORT WORTH, TX
76120-1227

Practice Phone: 817-457-4329
Practice Fax: 972-386-0704

1922424944 — CATHRYN DONAGHEY M.S. SLP CFY
Practice Location Address:

6850 MANHATTAN BLVD , SUITE 204
FORT WORTH, TX
76120-1227

Practice Phone: 817-507-1500
Practice Fax: 817-507-0702

1396161279 — LINDY GEROW PTA
Practice Location Address:

6850 MANHATTAN BLVD , STE. 204
FORT WORTH, TX
76120-1227

Practice Phone: 817-507-1500
Practice Fax:

1740606557 — JORGE A MARQUEZ SR. SLP-ASSISTANT
Practice Location Address:

6850 MANHATTAN BLVD , STE 204
FORT WORTH, TX
76120-1227

Practice Phone: 817-507-1500
Practice Fax:

1396161220 — HEATHER HAMILTON
Practice Location Address:

6850 MANHATTAN BLVD
FORT WORTH, TX
76120-1227

Practice Phone: 817-507-1500
Practice Fax:

1275959082 — STACY FITTS MA/CCC-SLP
Practice Location Address:

6850 MANHATTAN BLVD , SUITE 204
FORT WORTH, TX
76120-1227

Practice Phone: 817-507-1500
Practice Fax:

Directions to “DIVINE CARE HEALT SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.