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General NPI Number Information
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NPI Number | 1578353496
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Entity Type | Organization
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Legal Business Name | DIVINE HEALING HEARTS & SOULS HOME CARE
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 555 BELAIRE AVE STE 210 OFFICE NUMBER 2702
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4783
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Country | US
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Telephone | 757-819-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BELAIRE AVE STE 210
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4783
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Country | US
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Telephone | 757-819-7246
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | JOSEPHINE ELLEN BRAHAM
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Credential |
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Telephone | 757-618-4732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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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