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General NPI Number Information
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NPI Number | 1548689847
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Entity Type | Organization
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Legal Business Name | DIVINE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 633 E RAY RD STE 130
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City | GILBERT
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State | AZ
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Zip | 85296-4206
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Country | US
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Telephone | 480-812-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 S SOUTHWIND DR
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City | GILBERT
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State | AZ
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Zip | 85297-1973
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Country | US
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Telephone | 480-812-3680
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Fax |
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Authorized Official
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Title or Position | DIR. OF NURSING
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Name | GLORIA ADJEI
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Credential | REGISTERED NURSE
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Telephone | 480-812-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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