Divine Beauty Bar, Llc
Durable Medical Equipment & Medical Supplies
4201 Cypress Creek Pkwy Ste 322, Houston
Texas, 77068-3414
469-499-6200 469-519-5839
Divine Beauty Bar, Llc is an authorized DME supplier for medicare equipment and products.Divine Beauty Bar, Llc is a Durable Medical Equipment & Medical Supplies in Houston, Texas. It is located at 4201 Cypress Creek Pkwy Ste 322, Houston and it's customer support contact number is 469-499-6200. The authorized person of Divine Beauty Bar, Llc is Dezaree' Lusk, HAIR LOSS SPECIALIST who is Owner of this DME and his contact number is 469-499-6200. Divine Beauty Bar, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Divine Beauty Bar, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Divine Beauty Bar, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Divine Beauty Bar, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4201 Cypress Creek Pkwy Ste 322, Houston, Texas, 77068-3414 |
| Phone: | 469-499-6200 |
| Fax: | 469-519-5839 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dezaree' Lusk |
| Credentials: | HAIR LOSS SPECIALIST |
| Position: | Owner |
| Contact Number: | 469-499-6200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1902399942 |
| NPI Enumeration Date: | 13 Jun, 2018 |
| NPI Last Update On: | 30 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Beauty Bar, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetics Case Management | 1449535 | Texas | Secondary | |
| Home Health | | | Secondary | |
| Hospice Care, Community Based | | | Secondary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
| Non-emergency Medical Transport (van) | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1449535 | Other | Texas | Texas Department Of Licensing And Registration |
| C53480 | Other | Texas | Certified Mastectomy Fitter |
Medicare Enrollment:
Divine Beauty Bar, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0840738647 | O20240812001930 | Divine Beauty Bar, Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4201 Cypress Creek Pkwy Ste 322, Houston, Texas |
| Zip: | 77068-3414 |
| Phone Number: | 469-499-6200 |
| Fax Number: | 469-519-5839 |
Patients can reach Divine Beauty Bar, Llc at
4201 Cypress Creek Pkwy Ste 322, Houston, Texas or can
call on customer care at 469-499-6200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.