Provider Demographics
NPI:1700018215
Name:DIVINE MERCY HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:DIVINE MERCY HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FLORANTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEDROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-883-8307
Mailing Address - Street 1:8051 INDEPENDENCE DR
Mailing Address - Street 2:STE A
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-3825
Mailing Address - Country:US
Mailing Address - Phone:586-977-7953
Mailing Address - Fax:586-977-7968
Practice Address - Street 1:8051 INDEPENDENCE DR
Practice Address - Street 2:STE A
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-3825
Practice Address - Country:US
Practice Address - Phone:586-977-7953
Practice Address - Fax:586-977-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health