Luz Divina Home Care Agency
Custodial Care Facility, Adult Care Home in Allentown, PA. Organization (NPI-2).
NPI number1487984126
StatusActive
Last updated in NPPESDec 31, 2009
Details
- NPI
- 1487984126
- Entity type
- Organization (NPI-2)
- Legal business name
- Luz Divina Home Care Agency
- Organization subpart
- No
- Enumeration date
- Dec 31, 2009
- Last updated
- Dec 31, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
236 N 15th StAllentown, PA 18102-3673
Phone 610-437-2220 · Fax 610-437-2276
Mailing address
236 N 15th StAllentown, PA 18102-3673
Phone 610-437-2220 · Fax 610-437-2276
Authorized official
Angel Portorreal
Administrator
6106180557
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