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General NPI Number Information
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NPI Number | 1972413805
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Entity Type | Organization
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Legal Business Name | DIVINE HOPE CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 149 BLACKPOOL DR
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City | ANTIOCH
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State | TN
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Zip | 37013-4688
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Country | US
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Telephone | 615-955-8177
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Fax |
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Provider Business Mailing Address
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Address Line | 149 BLACKPOOL DR
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City | ANTIOCH
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State | TN
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Zip | 37013-4688
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Country | US
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Telephone | 615-955-8177
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER CEO
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Name | AUGUSTINA C DURUNNA
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Credential | PMHNP-BC
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Telephone | 615-955-8177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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