MEDICARE: DEVINE HANDS CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1033966163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVINE HANDS CARE INC.

Provider Business Mailing Address
First Line	:	8055 F.M. 359 RD S
Second Line	:	UNIT 52
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5127 OAKBRIAR LN
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77469-4705
Country	:	US
Telephone Number	:	734-759-7993
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHIDERA AGODU
Credential	:
Telephone Number	:	734-286-5750

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	12/17/2025

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Directions to “DEVINE HANDS CARE INC. ” Practice Location

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