Organization · NPI-2
Divinity Healthcare LLC
Technician, Personal Care Attendant · Stafford, VA
NPI number1407536931
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1407536931
- Entity type
- Organization (NPI-2)
- Legal business name
- Divinity Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2023
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
9 Fulton DrStafford, VA 22554-7827
Phone 571-343-6935
Mailing address
9 Fulton DrStafford, VA 22554-7827
Phone 571-343-6935
Authorized official
Paul Dwumah Brobbey
Managing Director
5713436935
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