Provider Demographics
NPI:1881873057
Name:DEVINE NURSING SERVICES UNLIMITED, INC.
Entity type:Organization
Organization Name:DEVINE NURSING SERVICES UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:PURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-802-3815
Mailing Address - Street 1:4121 SIHLER OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5004
Mailing Address - Country:US
Mailing Address - Phone:410-802-3815
Mailing Address - Fax:410-363-6792
Practice Address - Street 1:4121 SIHLER OAKS TRL
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5004
Practice Address - Country:US
Practice Address - Phone:410-802-3815
Practice Address - Fax:410-363-6792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2430P3140N1450X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric