DIVINE 4 SUPPORT LLC NPI 1790558393

NPI Information

  • NPI: 1790558393
  • Provider Name: DIVINE 4 SUPPORT LLC
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • Address: 15378 VERONICA AVE
    EASTPOINTE, MI
    ZIP 48021
  • Phone: (313) 477-9642

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NPI Details

DIVINE 4 SUPPORT LLC is a home health aide in Eastpointe, MI. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. DIVINE 4 SUPPORT LLC NPI is 1790558393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15378 VERONICA AVE
EASTPOINTE, MI
ZIP 48021-636
Phone: (313) 477-9642
Fax: (313) 521-3767

The provider's authorized official is Monique Boyd .
The authorized official title is Owner and has the following contact phone number (313) 477-9642.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 1/10/2025.

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
1172V00000XCommunity Health WorkerNo
2251E00000XHome HealthNo
33747A0650XTechnicianAttendant Care ProviderNo
43747P1801XTechnicianPersonal Care AttendantNo
5374U00000XHome Health AideYes
6376G00000XNursing Home AdministratorNo

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: 11/21/2025

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