Healthcare Provider Details

I. General information

NPI: 1033966163
Provider Name (Legal Business Name): DEVINE HANDS CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5127 OAKBRIAR LN
ROSENBERG TX
77469-4705
US

IV. Provider business mailing address

8055 F.M. 359 RD S UNIT 52
FULSHEAR TX
77441-1303
US

V. Phone/Fax

Practice location:
  • Phone: 734-759-7993
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHIDERA AGODU
Title or Position: ADMINISTRATOR
Credential:
Phone: 734-286-5750