Healthcare Provider Details

I. General information

NPI: 1699644732
Provider Name (Legal Business Name): DIVINE CONCIERGE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HUNT ST STE 516
DETROIT MI
48207-5605
US

IV. Provider business mailing address

2200 HUNT ST STE 516
DETROIT MI
48207-5605
US

V. Phone/Fax

Practice location:
  • Phone: 248-890-7998
  • Fax:
Mailing address:
  • Phone: 248-890-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JASMINE REED
Title or Position: OWNER/CEO
Credential:
Phone: 248-890-7998