Divine Community Care Providers, Llc

LBN: Divine Community Care Providers, Llc
Divine Community Care Providers, Llc is an health care organization with primary practice located at 7550 Slate Ridge Blvd , Reynoldsburg OH 43068-3156. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Divine Community Care Providers, Llc can be contacted via phone (614) 861-0861, or through Porter, Angelique Maria via phone (614) 861-0861.

Contact Information

Primary practice address
7550 Slate Ridge Blvd Reynoldsburg OH 43068-3156
Phone: (614) 861-0861
Fax: (614) 861-8026
Website:
Map and Directions
Authorized official contact:
Name: Porter, Angelique Maria
Phone: (614) 861-0861

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1134370513
LBN Legal business name Divine Community Care Providers, Llc
DBA Doing business as
Authorized official Porter, Angelique Maria
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2008
Last updated Oct 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134370513 NPPES
Ohio Other 2531853 MBS CONTRACT NUMBER
Ohio MEDICAID 2649227 MBS CONTRACT NUMBER

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