Provider Demographics
NPI:1275245482
Name:DIVINE GLOBAL CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:DIVINE GLOBAL CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:P
Authorized Official - Last Name:ORIAS
Authorized Official - Suffix:
Authorized Official - Credentials:PARTNER
Authorized Official - Phone:510-386-7737
Mailing Address - Street 1:3939 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2615
Mailing Address - Country:US
Mailing Address - Phone:510-386-7737
Mailing Address - Fax:
Practice Address - Street 1:3939 SMITH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2615
Practice Address - Country:US
Practice Address - Phone:510-386-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health