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NPI Code Detail

MEDICARE: ACCLAIMED DIVINE HOMEHEALTH SERVICES LLC

MEDICARE: ACCLAIMED DIVINE HOMEHEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1346000973
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCLAIMED DIVINE HOMEHEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 8527 LOCKRIDGE VALLEY TRL
Second Line :
City : RICHMOND
State : TX
Zip : 77407-5038
Country : US
Telephone Number : 832-451-9448
Fax Number :
Provider Business Practice Location Address
First Line : 8527 LOCKRIDGE VALLEY TRL
Second Line :
City : RICHMOND
State : TX
Zip : 77407-5038
Country : US
Telephone Number : 832-451-9448
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. SUMICA SIMS
Credential :
Telephone Number : 832-451-9448
Provider Enumeration Date : 03/20/2024
Last Update Date : 08/12/2024

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Directions to “ACCLAIMED DIVINE HOMEHEALTH SERVICES LLC ” Practice Location

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