MEDICARE: DIVINE SOLUTIONS RESIDENTIAL 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
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1992652630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE SOLUTIONS RESIDENTIAL SERVICES LLC.

Provider Business Mailing Address
First Line	:	242 DALTON DR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-2600
Country	:	US
Telephone Number	:	407-453-5183
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 DALTON DR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-2600
Country	:	US
Telephone Number	:	407-453-5183
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JEAN ALVAREZ TOUSSAINT
Credential	:
Telephone Number	:	863-440-3617

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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