Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Home Care Changes

Organization Clinical Social Worker · NPI 1174132476

Divine Home Care Changes is a Clinical Social Worker in Vicksburg, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

106 Ethel Dr
Vicksburg, MS 39180-8905
Phone: (919) 339-1854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Clinical Social Worker Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1174132476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chasity Davis — Ceo · (919) 339-1854
NPI enumeratedJuly 23, 2020
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing addressPo Box 821878, Vicksburg, MS 39182-1878

Other providers in Vicksburg