Healthcare Provider Details

I. General information

NPI: 1124656293
Provider Name (Legal Business Name): DIVINE TOUCH HOME HELP SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 AVENUE G
BIRMINGHAM AL
35214-5432
US

IV. Provider business mailing address

PO BOX 311315
BIRMINGHAM AL
35231-1315
US

V. Phone/Fax

Practice location:
  • Phone: 205-791-7927
  • Fax:
Mailing address:
  • Phone: 205-791-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLA LA TRESE STEVENSON
Title or Position: OWNER
Credential:
Phone: 205-791-7927