Provider Demographics
NPI:1144775669
Name:DIVINE MERCY HOME CARE, LLC
Entity Type:Organization
Organization Name:DIVINE MERCY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACINTH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-265-7981
Mailing Address - Street 1:1515 MARKET ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1921
Mailing Address - Country:US
Mailing Address - Phone:267-265-7981
Mailing Address - Fax:
Practice Address - Street 1:1515 MARKET ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1921
Practice Address - Country:US
Practice Address - Phone:267-265-7981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health