Provider Demographics
NPI:1063616563
Name:DIVINE CARE HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:DIVINE CARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:ROBLEDO
Authorized Official - Last Name:BUNYE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:805-578-9481
Mailing Address - Street 1:1716 ERRINGER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-6527
Mailing Address - Country:US
Mailing Address - Phone:818-332-6150
Mailing Address - Fax:805-578-9486
Practice Address - Street 1:1716 ERRINGER RD STE 106
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6527
Practice Address - Country:US
Practice Address - Phone:805-578-9481
Practice Address - Fax:805-578-9486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health