Provider Demographics
NPI:1528623527
Name:DEVINE HOME CARE LIMITED COMPANY
Entity type:Organization
Organization Name:DEVINE HOME CARE LIMITED COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MWINYELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-505-5071
Mailing Address - Street 1:17985 DUMFRIES SHOPPING PLZ STE 205C
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2395
Mailing Address - Country:US
Mailing Address - Phone:571-505-5071
Mailing Address - Fax:
Practice Address - Street 1:18096B PURVIS DR
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-1118
Practice Address - Country:US
Practice Address - Phone:571-505-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty