Divine Home Care Changes

LBN: Divine Home Care Changes
Divine Home Care Changes is an health care organization with primary practice located at 106 Ethel Dr , Vicksburg MS 39180-8905. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Divine Home Care Changes can be contacted via phone (919) 339-1854, or through Davis, Chasity via phone (919) 339-1854.

Contact Information

Primary practice address
106 Ethel Dr Vicksburg MS 39180-8905
Phone: (919) 339-1854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Chasity
Phone: (919) 339-1854

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1174132476
LBN Legal business name Divine Home Care Changes
DBA Doing business as
Authorized official Davis, Chasity
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2020
Last updated Oct 7th, 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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