Divine Healing Senior & Disabled Services LLC
Organization Active NPI In Home Supportive Care Agency · Midway, FL
NPI 1679194237 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1679194237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- DIVINE HEALING SENIOR & DISABLED SERVICES LLC
- Practice address
- 8866 High Bridge Rd
Midway, FL 32343 - Phone
- (850) 274-7104
- NPI assigned
- May 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Decorkus Allen
- Title
- Ceo
- Phone
- (850) 274-7104
Practitioners 1
National Provider Directory
Locations
8866 Highbridge Rd
Midway, FL 32343
Phone (850) 274-7104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
8866 High Bridge Rd
Midway, FL 32343
Mailing address
211 Gay St
Havana, FL 32333-1646
Phone (850) 274-7104
Other practice location 1
171 Bear Creek Rd
Quincy, FL 32351-7937
Phone (850) 274-7104
Other practice location 2
211 Gay St
Havana, FL 32333-1646
Phone (850) 274-7104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021500500 | Medicaid | FL | |
| 114242100 | Medicaid | FL |
Other names
- Decorkus V Allen
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | havanathomas@aol.com | ||
| Other URL | havanathomas@aol.com | ||
| Other URL | havanathomas@aol.com |
Other providers in Midway, FL
- Caring Hands on the Move Healthcare LLC
- Antoinette Carr
- Ronald James Colston
- Count on US Medical Transport
- Denorice Lashay Dillard
- Dream Family Home Care, LLC
- Elegant Care, LLC
- Wanda Franklin
- Genesis I Assisted Living Facility Inc.
- Roncaglia Gibson
All providers in Midway, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.