Organization · NPI-2

Divine Home Community Services INC

Clinic/Center, Developmental Disabilities · Beltsville, MD

NPI number1376274670
StatusActive
Last updated in NPPESNov 9, 2025

Details

NPI
1376274670
Entity type
Organization (NPI-2)
Legal business name
Divine Home Community Services INC
Organization subpart
No
Enumeration date
Jun 19, 2022
Certification date
Nov 9, 2025
Last updated
Nov 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD1600X Clinic/Center, Developmental Disabilities––Yes
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––
251S00000X Community/Behavioral Health––
385HR2050X Respite Care, Respite Care Camp––
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––
385H00000X Respite Care––

Practice location

5000 Sunnyside Ave Ste 101
Beltsville, MD 20705-2327

Phone 240-334-1121 · Fax 240-540-4963

Mailing address

12902 Old Chapel Rd
Bowie, MD 20720-4616

Phone 240-334-1121 · Fax 240-540-4963

Authorized official

Jennifer Chinyere Madubuko
Director
2403341121

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