Healthcare Provider Details

I. General information

NPI: 1467328898
Provider Name (Legal Business Name): DIVINE COMFORT LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 OAK HILL CT APT 179
TOLEDO OH
43614-2524
US

IV. Provider business mailing address

1313 OAK HILL CT APT 179
TOLEDO OH
43614-2524
US

V. Phone/Fax

Practice location:
  • Phone: 419-482-8571
  • Fax:
Mailing address:
  • Phone: 419-482-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. NEWTON DUNCAN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 567-200-1024