Provider Demographics
NPI:1578353496
Name:DIVINE HEALING HEARTS & SOULS HOME CARE
Entity type:Organization
Organization Name:DIVINE HEALING HEARTS & SOULS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-618-4732
Mailing Address - Street 1:555 BELAIRE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4783
Mailing Address - Country:US
Mailing Address - Phone:757-819-7246
Mailing Address - Fax:
Practice Address - Street 1:555 BELAIRE AVE STE 210
Practice Address - Street 2:OFFICE NUMBER 2702
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4783
Practice Address - Country:US
Practice Address - Phone:757-819-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health