Divine Life Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE LIFE HOME CARE LLC

Practice address

1865 S Liddesdale St
Detroit, MI 48217-1145

Phone

(313) 459-6791

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Debra Denise Mitchell

Title

Operating Manager

Phone

(313) 459-6791

Specialties & licenses 1

Addresses

Other names 1

• Divine Life Home Care LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1295563195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 S LIDDESDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171145",
            "telephone_number": "313-459-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 S LIDDESDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171145",
            "telephone_number": "313-459-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "313-459-6791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Life Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Divine Concierge Solutions
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• Divine Living Homes
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• Divine Medical Center P C
• Divine Mercyy Home Care
• Divine Pharmacy LLC

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.