Provider Demographics
NPI:1326851593
Name:DIVINE CARE HEALTH GROUP, INC.
Entity type:Organization
Organization Name:DIVINE CARE HEALTH GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-908-9400
Mailing Address - Street 1:865 S CEDAR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-2001
Mailing Address - Country:US
Mailing Address - Phone:517-908-9400
Mailing Address - Fax:
Practice Address - Street 1:865 S CEDAR ST STE 100
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-2001
Practice Address - Country:US
Practice Address - Phone:517-908-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based