FLORENCE BENNETT (NPI# 1376063024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376063024 |
| Entity Type | Organization |
| Organization Name | FLORENCE BENNETT |
| Other Organization Name | DIVINITY CARE CENTER |
| Practice Address |
6111 Wilcrest Dr Houston TX 77072 |
| Mailing Address |
5800 Ranchester Dr Ste 188 Houston TX 77036-2464 |
| Practice Telephone | 7133031325 |
| Practice Fax Number | 7133031325 |
| Mailing Telephone | 7133031325 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | FLORENCE N BENNETT (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7133031325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
TX | Nursing & Custodial Care Facilities | |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 001007690 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1700965167 | 05 |
| Other Name | Type Code |
|---|---|
| DIVINITY CARE CENTER | Doing Business As Name - Organization |
| Street Address |
6111 WILCREST DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121416 | Community Medical Clinic LLC | Family Medicine | 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 | 2020-07-10 |
| 1073155271 | Daysi D Landaverde | Technician | 13078 Clarewood Dr, Houston, TX 77072 | 2019-10-09 |
| 1043727852 | Adrienne N Brown | Counselor | 7419 S Kirkwood Rd Ste A, Houston, TX 77072 | 2018-01-02 |
| 1235645441 | Timothy Viet Do | Pharmacist | 12454 Beecnut Street Suite 8, Houston, TX 77072 | 2017-12-26 |
| 1255857165 | Danielle Mondesir | Nurse Practitioner | 13131 Wilde Glen Lane, Houston, TX 77072 | 2017-08-22 |
| 1437684297 | Alief Chiro & Rehab, Inc. | Chiropractor | 10600 Bellaire Blvd Ste. 139, Houston, TX 77072 | 2017-04-28 |
| 1952858672 | Thanhtam Thi Tran | Dentist | 820 W. Sam Houston Pkwy, Houston, TX 77072 | 2016-09-11 |
| 1174972996 | Fresh Ortho Care, Pllc | Dentist | 12168 Bellaire Blvd- Ste. 100, Houston, TX 77072 | 2016-06-13 |
| 1437504255 | Shilo Home Health | Assisted Living Facility | 7000 Cook Rd Apt 901, Houston, TX 77072 | 2016-04-29 |
| 1710360763 | Heather Christie Perez | Nurse Practitioner | 12360 Bear Ram Road, #t-1, Houston, TX 77072 | 2015-07-08 |
| Find all providers in zip 77072 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1376104653 | Ladies Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Winrock Blvd Apt 122, Houston, TX 77057-4325 | 2019-06-26 |
| 1366005712 | Cogic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7809 Winship St, Houston, TX 77028-2441 | 2019-04-20 |
| 1891257382 | Amazing Grace Greater Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9231 Floral Crest Dr, Houston, TX 77083-6226 | 2019-04-03 |
| 1083172092 | Silver Lining Residential,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8014 Montague Manor Ln, Houston, TX 77072-0124 | 2019-03-08 |
| 1922570712 | Katrina Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12214 Plumpoint Dr, Houston, TX 77099-3138 | 2018-12-18 |
| 1902376635 | Friendly Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15403 Town Green Dr, Houston, TX 77083-5539 | 2018-11-26 |
| 1851869358 | Wavuli Foundation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8542 Village Rose Ln, Houston, TX 77072-5649 | 2018-11-02 |
| 1083197966 | C&d Amazing Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15226 Mission Forest Dr, Houston, TX 77083-7359 | 2018-09-07 |
| Find all providers in HOUSTON | ||||
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| 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.