MEDICARE: DIVINE MOTHER LOVE HEALTH CARE SERVICES INC

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	251E00000X	Home Health Agency	010114	TX

General Provider Information

NPI Number	:	1992058242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE MOTHER LOVE HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	8903 ALTAMONT DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2409
Country	:	US
Telephone Number	:	713-534-1108
Fax Number	:	713-534-1203

Provider Business Practice Location Address
First Line	:	5373 W ALABAMA ST # 442
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5930
Country	:	US
Telephone Number	:	102-815-1541
Fax Number	:	888-604-9472

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MIKE OGADI
Credential	:
Telephone Number	:	713-534-1108

Provider Enumeration Date	:	10/24/2012
Last Update Date	:	08/05/2025

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