Provider Demographics
NPI:1811611924
Name:DIVINELINK CARE SERVICES LLC
Entity type:Organization
Organization Name:DIVINELINK CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCHOLARSTICA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-691-8518
Mailing Address - Street 1:7375 EXECUTIVE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6234
Mailing Address - Country:US
Mailing Address - Phone:240-691-8518
Mailing Address - Fax:
Practice Address - Street 1:7404 EXECUTIVE PL
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2268
Practice Address - Country:US
Practice Address - Phone:240-691-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health