Divine Essence Abundance Home Care Services Llc

LBN: Divine Essence Abundance Home Care Services Llc
Divine Essence Abundance Home Care Services Llc is an health care organization with primary practice located at 1811 North Reynolds Unit 101-A , Toledo OH 43615. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Divine Essence Abundance Home Care Services Llc can be contacted via phone (567) 277-2729, or through Jackson, Jerrika S via phone (567) 277-2729.

Contact Information

Primary practice address
1811 North Reynolds Unit 101-A Toledo OH 43615
Phone: (567) 277-2729
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jerrika S
Phone: (567) 277-2729

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1700502630
LBN Legal business name Divine Essence Abundance Home Care Services Llc
DBA Doing business as
Authorized official Jackson, Jerrika S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700502630 NPPES
Ohio MEDICAID 0484848

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