Provider Demographics
NPI:1518339563
Name:DIVINE CARE INC
Entity Type:Organization
Organization Name:DIVINE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAPPINESS
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAOPARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-346-4397
Mailing Address - Street 1:6400 ROYAL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4803
Mailing Address - Country:US
Mailing Address - Phone:248-346-4397
Mailing Address - Fax:
Practice Address - Street 1:6400 ROYAL POINTE DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4803
Practice Address - Country:US
Practice Address - Phone:248-346-4397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No253J00000XAgenciesFoster Care Agency