Provider Demographics
NPI:1225991722
Name:DIVINE PEACE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:DIVINE PEACE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UDODIRIM
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEREKE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C
Authorized Official - Phone:713-979-8351
Mailing Address - Street 1:14617 BEECHNUT ST STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4436
Mailing Address - Country:US
Mailing Address - Phone:713-979-8351
Mailing Address - Fax:
Practice Address - Street 1:14617 BEECHNUT ST STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4436
Practice Address - Country:US
Practice Address - Phone:713-979-8351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service