MEDICARE: DIVINITY CARE AND COMPANY

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
1	253Z00000X	In Home Supportive Care Agency
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1760214373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINITY CARE AND COMPANY

Provider Business Mailing Address
First Line	:	21306 FRANKLIN RD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-2134
Country	:	US
Telephone Number	:	216-816-6174
Fax Number	:

Provider Business Practice Location Address
First Line	:	21306 FRANKLIN RD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-2134
Country	:	US
Telephone Number	:	216-816-6174
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ OPERATOR
Name	:	DOMONIQUE NICOLE MORTON
Credential	:
Telephone Number	:	216-816-6174

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	04/06/2026

Similar Medicare Providers

1104616267 — DOMONIQUE MORTON
Practice Location Address:

21306 FRANKLIN RD
MAPLE HEIGHTS, OH
44137-2134

Practice Phone: 216-816-6174
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1912845140 — DIVINITY CARE AND COMPANY
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1265904635 — KEITH COLES LMSW
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1649278763 — ROGER K. JOHNSON O.D.
Practice Location Address:

1629 UNION AVE
NATRONA HEIGHTS, PA
15065-2134

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1336134899 — MICHELLE L ZUBA DO
Practice Location Address:

1629 UNION AVE , SUITE 4
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Practice Fax: 724-226-7109

1376501601 — STACEY L PIERCE PA-C
Practice Location Address:

1629 UNION AVE STE 4
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15065-2134

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Practice Fax: 724-671-1170

Directions to “DIVINITY CARE AND COMPANY ” Practice Location

Language	Start Address	Practice Location

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