Provider Demographics
NPI:1639221104
Name:DIVINE INTERVENTIONS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:DIVINE INTERVENTIONS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARNEGIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:614-517-6054
Mailing Address - Street 1:3245 E LIVINGSTON AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3245 E LIVINGSTON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1943
Practice Address - Country:US
Practice Address - Phone:614-338-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1670887251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health