Provider Demographics
NPI:1689444242
Name:DIVINE HEARTS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DIVINE HEARTS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-589-6863
Mailing Address - Street 1:PO BOX 39261
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-0261
Mailing Address - Country:US
Mailing Address - Phone:720-589-6863
Mailing Address - Fax:
Practice Address - Street 1:15199 E 117TH PL
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80603-7212
Practice Address - Country:US
Practice Address - Phone:720-589-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care