DIVINE MEDICAL OUTREACH SERVICES (NPI# 1194901736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194901736 |
| Entity Type | Organization |
| Organization Name | DIVINE MEDICAL OUTREACH SERVICES |
| Practice Address |
5553 Springvale Rd North Little Rock AR 72116-3740 |
| Practice Telephone | 5015162322 |
| Practice Fax Number | 5017719211 |
| Mailing Telephone | 5015162322 |
| Mailing Fax Number | 5017719211 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | MRS. RHONDA MICHELLE GOLDSBY (REGISTERED NURSE/CASEMGR.) |
| Authorized Official Telephone | 5015162322 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R66896 | AR | Ambulatory Health Care Facilities |
| Street Address |
5553 SPRINGVALE RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022967 | Rhonda Michelle Goldsby | Registered Nurse | 5553 Springvale Rd, North Little Rock, AR 72116-3740 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578993291 | Healthcare Certifications, LLC | Clinic/Center | 3721 Idlewild Ave, North Little Rock, AR 72116-8237 | 2013-11-15 |
| 1477704120 | Kathryn T. Chenault, M.d, P.a. | Clinic/Center | 3500 Springhill Dr, Suite 200, North Little Rock, AR 72117-2950 | 2008-09-30 |
| 1760630867 | Concentra Health Services Inc | Clinic/Center | 3470 Landers Road, North Little Rock, AR 72117 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748488 | Integrity Healthcare, LLC | Clinic/Center | 1210 S Cherry St Ste 4, Pine Bluff, AR 71601-5667 | 2017-02-04 |
| 1801245105 | Youth Bridge | Clinic/Center | 5327 Crestwood St, Harrison, AR 72601-9292 | 2016-06-07 |
| 1508211798 | Massage Clinic 7 | Clinic/Center | 8 Beauregard Dr, Little Rock, AR 72206-2722 | 2016-04-26 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1699183392 | Kaumeyer Chiropractic Center | Clinic/Center | 3145 Central Ave Ste B, Hot Springs, AR 71913-6171 | 2014-07-25 |
| 1760721492 | Revive Health and Wellness Pllc | Clinic/Center | 5309 Village Pkwy Ste 3, Rogers, AR 72758-8102 | 2013-01-31 |
| 1871622621 | Doc's Clinic and Institute, Plc | Clinic/Center | 4220 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-03-05 |
| 1699856872 | George Chiropractic Clinic Inc. | Clinic/Center | 1718 N Falls Blvd, Wynne, AR 72396-0498 | 2006-10-17 |
| 1700808755 | Northstar Partnering Group, LLC | Clinic/Center | 2458 E Joyce Blvd, Suite 1, Fayetteville, AR 72703-4519 | 2006-07-25 |
| 1366051187 | Village Health Solutions | Clinic/Center | 33 Mesero Way, Hot Springs Village, AR 71909-6007 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on DIVINE MEDICAL OUTREACH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.