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NPI Code Detail

MEDICARE: DIVINE SOLUTIONS HEALTHCARE LLC

MEDICARE: DIVINE SOLUTIONS HEALTHCARE 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
1373H00000XDay Training/Habilitation Specialist
2374U00000XHome Health Aide
3376J00000XHomemaker

General Provider Information

NPI Number : 1700730744
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE SOLUTIONS HEALTHCARE LLC
Provider Business Mailing Address
First Line : 2242 S HAMILTON RD STE 208
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4300
Country : US
Telephone Number : 614-571-2711
Fax Number :
Provider Business Practice Location Address
First Line : 2242 S HAMILTON RD STE 208
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4300
Country : US
Telephone Number : 614-571-2711
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : ALEXANDER T FALLAH SR.
Credential :
Telephone Number : 614-571-2711
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “DIVINE SOLUTIONS HEALTHCARE LLC ” Practice Location

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