Provider Demographics
NPI:1306617238
Name:DIVINE CAREGIVING SERVICES. LLC
Entity type:Organization
Organization Name:DIVINE CAREGIVING SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BINU
Authorized Official - Middle Name:
Authorized Official - Last Name:GELORGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-882-9425
Mailing Address - Street 1:234 GARDEN ST STE A-1
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:630-882-9425
Mailing Address - Fax:866-872-1797
Practice Address - Street 1:234 GARDEN ST STE A-1
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-8921
Practice Address - Country:US
Practice Address - Phone:630-882-9425
Practice Address - Fax:866-872-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care