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DIVINE LIFE HOME CARE LLC
NPI 1295563195
Home Health in Detroit, MI

Active since July 23, 2024
1865 S LIDDESDALE ST, DETROIT, MI 48217(313) 459-6791 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Life Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE LIFE HOME CARE LLC (NPI 1295563195) is a healthcare organization registered as a home health in Detroit, Michigan and active in the NPI registry since July 2024. The organization lists Debra Denise Mitchell, Operating Manager, as its authorized official.

NPPES Registry Identity

NPI1295563195
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINE LIFE HOME CARE LLC
Location Address1865 S LIDDESDALE STDetroit, MI 48217-1145
Mailing Address1865 S Liddesdale StDetroit, MI 48217-1145 · (313) 459-6791
Phone(313) 459-6791
Organization SubpartNo
Authorized OfficialDebra Denise MitchellOperating Manager · (313) 459-6791
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1295563195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1865 S LIDDESDALE ST, Detroit, MI 48217
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Other Names 1

Former Legal Business NameDivine Life Home Care Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Life Home Care LLC's NPI number?

The NPI number for Divine Life Home Care LLC is 1295563195. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Divine Life Home Care LLC located?

Divine Life Home Care LLC is located at 1865 S Liddesdale St, Detroit, MI 48217. The listed phone number is (313) 459-6791.

What is Divine Life Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Divine Life Home Care LLC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.