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

Divinity Community Living, Inc

Organization In Home Supportive Care Agency · NPI 1295394377

Divinity Community Living, Inc is an In Home Supportive Care Agency in Jackson, Mississippi. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 Briarwood Dr Ste 101B
Jackson, MS 39206-3029
Phone: (769) 572-7111
Fax: (769) 572-7327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 529 S Broadway St Ste 2, McComb, MS 39648-5168 — (769) 572-7111

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1295394377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Williams — Ceo · (601) 462-4513
Other names Divinity Community Living, Llc; Dcl; Dcl
NPI enumeratedJune 11, 2019
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address405 Briarwood Dr Ste 101b, Jackson, MS 39206-3029

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