Provider Demographics
NPI:1306534151
Name:DEVINE SENIOR CARE LLC,DBA HOME INSTEAD
Entity type:Organization
Organization Name:DEVINE SENIOR CARE LLC,DBA HOME INSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-709-8888
Mailing Address - Street 1:326 COOPER ST # A2
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2628
Mailing Address - Country:US
Mailing Address - Phone:972-709-8888
Mailing Address - Fax:
Practice Address - Street 1:326 COOPER ST # A2
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2628
Practice Address - Country:US
Practice Address - Phone:972-709-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care