Provider Demographics
NPI:1639594443
Name:DIVINE MERCY HOME HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:DIVINE MERCY HOME HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:OBIANUJU
Authorized Official - Last Name:AGALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:816-686-7699
Mailing Address - Street 1:5545 N OAK TRFY
Mailing Address - Street 2:SUITE 12A
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4770
Mailing Address - Country:US
Mailing Address - Phone:816-686-7699
Mailing Address - Fax:
Practice Address - Street 1:5545 N OAK TRFY
Practice Address - Street 2:SUITE 12A
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4770
Practice Address - Country:US
Practice Address - Phone:816-686-7699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health