Provider Demographics
NPI:1407368673
Name:DIVINE HANDS COMMUNITY CARE SERVICES
Entity type:Organization
Organization Name:DIVINE HANDS COMMUNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-494-1294
Mailing Address - Street 1:2607 NW 39TH TER APT 202
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1066
Mailing Address - Country:US
Mailing Address - Phone:954-494-1294
Mailing Address - Fax:954-625-9005
Practice Address - Street 1:2607 NW 39TH TER APT 202
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-1066
Practice Address - Country:US
Practice Address - Phone:954-494-1294
Practice Address - Fax:954-625-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234807372500000X, 372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty