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DIVINE INTERVENTION HEALTHCARE, INC
NPI 1912292806
Home Health in Matteson, IL

Active since June 19, 2011
4747 LINCOLN MALL DR, SUITE 502, MATTESON, IL 60443(708) 248-7662(708) 248-7682 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Intervention Healthcare, Inc NPPES

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

DIVINE INTERVENTION HEALTHCARE, INC (NPI 1912292806) is a healthcare organization registered as a home health in Matteson, Illinois and active in the NPI registry since June 2011. The organization lists Sandrena Armetta Harris, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1912292806
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINE INTERVENTION HEALTHCARE, INC
Location Address4747 LINCOLN MALL DR, SUITE 502Matteson, IL 60443-3811
Mailing Address4747 Lincoln Mall Dr, Suite 502Matteson, IL 60443-3811 · (708) 248-7662 · Fax (708) 248-7682
Phone(708) 248-7662
Fax(708) 248-7682
Organization SubpartNo
Authorized OfficialSandrena Armetta HarrisDirector Of Nursing · (708) 248-7662
Enumeration DateJune 19, 2011
Last NPPES UpdateOctober 30, 2012
✔ NPI 1912292806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedHome InfusionTaxonomy 251F00000X
4747 LINCOLN MALL DR, Matteson, IL 60443
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Other Identifiers 1

Medicare PIN148305

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MARIA CUNNINGHAM
Social Worker (Clinical)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Cook County (708) 843-3835
DR. DIANE VENNESSA DAVIS-WILLIAMS CCC-SLP
Speech-Language Pathologist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
Cook County (708) 679-0680
SHANEIKA TOLLIVER
Social Worker
4747 LINCOLN MALL DR
MATTESON, IL 60443
Cook County (708) 747-2655
DR. JOSEPH W OFISI MD
Surgery
4747 LINCOLN MALL DR
MATTESON, IL 60443
Cook County (708) 898-2700
DOCS AT THE DOOR INC
In Home Supportive Care
4747 LINCOLN MALL DR, SUITE 304
MATTESON, IL 60443
Cook County (708) 332-9887
SAUNDRA BRUNSON
Speech-Language Pathologist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
Cook County (708) 679-0680
MISS PATRICIA ANN WILLIS QMHP
Counselor (Mental Health)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Cook County (706) 747-2655
AMANDA BRIICK
Counselor (Professional)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Cook County (708) 747-2655

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 Intervention Healthcare, Inc's NPI number?

The NPI number for Divine Intervention Healthcare, Inc is 1912292806. It was assigned to this organization in the NPPES registry on June 19, 2011.

Where is Divine Intervention Healthcare, Inc located?

Divine Intervention Healthcare, Inc is located at 4747 Lincoln Mall Dr Suite 502, Matteson, IL 60443. The listed phone number is (708) 248-7662.

What is Divine Intervention Healthcare, Inc'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 Intervention Healthcare, Inc was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.