Organization · NPI-2
Divine Care Home Care Services LLC
Home Health · Aiken, SC
NPI number1043046220
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1043046220
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Care Home Care Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Sep 11, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Divine Care (Doing Business As)
Practice location
6150 Woodside Executive CtAiken, SC 29803-3820
Phone 844-954-5334 · Fax 706-262-7888
Mailing address
2047 Chanupa CtGrovetown, GA 30813-3817
Phone 844-954-5334 · Fax 706-262-7888
Authorized official
Namir H Coles
Owner
8449545334
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