DIVINE HOME HEALTH LLC NPI 1356113302

NPI Information

NPI: 1356113302
Provider Name: DIVINE HOME HEALTH LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3906 PEBBLE HEIGHTS LN # TX77479
SUGAR LAND, TX
ZIP 77479
Phone: (907) 351-4814
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DIVINE HOME HEALTH LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Sugar Land, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DIVINE HOME HEALTH LLC NPI is 1356113302. The provider is registered as an organization entity type.

The provider's business location address is:

3906 PEBBLE HEIGHTS LN # TX77479
SUGAR LAND, TX
ZIP 77479-753
Phone: (907) 351-4814

The provider's authorized official is Isichei Samuel Anene .
The authorized official title is Program Manager and has the following contact phone number (907) 351-4814.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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