Healthcare Provider Details

I. General information

NPI: 1013830876
Provider Name (Legal Business Name): DIVINE TOUCH HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 HORTON AVE
VALLEY STREAM NY
11581-1421
US

IV. Provider business mailing address

132 HORTON AVE
VALLEY STREAM NY
11581-1421
US

V. Phone/Fax

Practice location:
  • Phone: 347-867-3136
  • Fax:
Mailing address:
  • Phone: 347-867-3136
  • 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: MRS. SOBRINA LAURENT
Title or Position: CEO
Credential: MSN, RN
Phone: 347-867-3136