Provider Demographics
NPI:1780415315
Name:DIVINUS HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:DIVINUS HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NUKUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-650-7880
Mailing Address - Street 1:116 W MAIN ST UNIT 304E
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4905
Mailing Address - Country:US
Mailing Address - Phone:667-653-5145
Mailing Address - Fax:
Practice Address - Street 1:116 W MAIN ST UNIT 304E
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4905
Practice Address - Country:US
Practice Address - Phone:667-653-5145
Practice Address - Fax:877-713-2877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health