Provider Demographics
NPI:1699318774
Name:DEVINE TOUCH HEAVENLY CARE HOME HEALTH & HOSPICE
Entity type:Organization
Organization Name:DEVINE TOUCH HEAVENLY CARE HOME HEALTH & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-513-8602
Mailing Address - Street 1:120 HOUGH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23523-1118
Mailing Address - Country:US
Mailing Address - Phone:757-513-8602
Mailing Address - Fax:
Practice Address - Street 1:120 HOUGH AVE APT 2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23523-1118
Practice Address - Country:US
Practice Address - Phone:757-513-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health