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General NPI Number Information
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NPI Number | 1275245482
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Entity Type | Organization
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Legal Business Name | DIVINE GLOBAL CARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3939 SMITH STREET SUITE 1A
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City | UNION CITY
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State | CA
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Zip | 94587-2615
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Country | US
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Telephone | 510-386-7737
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Fax | 510-743-8825
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Provider Business Mailing Address
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Address Line | 3939 SMITH ST STE 1A
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City | UNION CITY
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State | CA
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Zip | 94587-2615
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Country | US
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Telephone | 510-386-7737
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | THELMA P ORIAS
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Credential | PARTNER
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Telephone | 510-386-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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