Provider Demographics
NPI:1962007948
Name:DIVINE HELP HOME HEALTH CARE
Entity Type:Organization
Organization Name:DIVINE HELP HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-241-6164
Mailing Address - Street 1:6325 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4059
Mailing Address - Country:US
Mailing Address - Phone:937-241-6164
Mailing Address - Fax:
Practice Address - Street 1:6325 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-4059
Practice Address - Country:US
Practice Address - Phone:937-241-6164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health