Provider Demographics
NPI:1538859863
Name:DIVINE HANDS HOME HEALTH
Entity type:Organization
Organization Name:DIVINE HANDS HOME HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-264-9036
Mailing Address - Street 1:6613 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6373
Mailing Address - Country:US
Mailing Address - Phone:240-264-9036
Mailing Address - Fax:
Practice Address - Street 1:6613 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6373
Practice Address - Country:US
Practice Address - Phone:240-264-9036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care