Healthcare Provider Details

I. General information

NPI: 1285563411
Provider Name (Legal Business Name): DIVINE HANDS HEATHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 EXECUTIVE PL STE 400-L17
LANHAM MD
20706-2268
US

IV. Provider business mailing address

7404 EXECUTIVE PL STE 400-L17
LANHAM MD
20706-2268
US

V. Phone/Fax

Practice location:
  • Phone: 301-364-7419
  • Fax:
Mailing address:
  • Phone: 301-364-7419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MATHIAS IHIMS BACHE
Title or Position: CEO
Credential:
Phone: 301-364-7419