Healthcare Provider Details

I. General information

NPI: 1912845140
Provider Name (Legal Business Name): DIVINITY CARE AND COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21306 FRANKLIN RD
MAPLE HEIGHTS OH
44137-2134
US

IV. Provider business mailing address

21306 FRANKLIN RD
MAPLE HEIGHTS OH
44137-2134
US

V. Phone/Fax

Practice location:
  • Phone: 216-816-6174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMONIQUE MORTON
Title or Position: OWNER
Credential:
Phone: 216-816-6174