Divine Home Care of Michigan

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HOME CARE OF MICHIGAN

Practice address

25164 Maplebrooke Dr
Southfield, MI 48033-5282

Phone

(248) 895-2171

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Patricia Mangum

Title

Member

Phone

(248) 895-2171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1962223131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25164 MAPLEBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335282",
            "telephone_number": "248-895-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25164 MAPLEBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335282",
            "telephone_number": "248-895-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-895-2171"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Home Health Care Inc
• Divi MD PC
• Thulasi S Divi, MD
• Divine Expressions Homecare LLC
• Divine Home & Health Support LLC
• Divine Homecare Agency LLC
• Divine Mercy Transportation
• Divine Transit LLC
• Pamila Diwan, MD
• Dixon Family Dental

• In Home Supportive Care Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.