Provider Demographics
NPI:1063095750
Name:DIVINE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:DIVINE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BINU
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-362-8279
Mailing Address - Street 1:234 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-8921
Mailing Address - Country:US
Mailing Address - Phone:630-362-8279
Mailing Address - Fax:
Practice Address - Street 1:570 E NORTHWEST HWY STE 12A
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2269
Practice Address - Country:US
Practice Address - Phone:630-882-9636
Practice Address - Fax:866-872-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health