Provider Demographics
NPI:1467250357
Name:DIVINE MERCY HOME HEALTH CARE LLC,
Entity type:Organization
Organization Name:DIVINE MERCY HOME HEALTH CARE LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:RANI
Authorized Official - Last Name:STALCUP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-693-3015
Mailing Address - Street 1:1201 E PARK BLVD
Mailing Address - Street 2:2322
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074
Mailing Address - Country:US
Mailing Address - Phone:469-693-3015
Mailing Address - Fax:
Practice Address - Street 1:1201 E PARK BLVD
Practice Address - Street 2:2322
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074
Practice Address - Country:US
Practice Address - Phone:469-693-3015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health