CCN: 237480 NPI: 1841488129 Organization

Divinity Home Care

42536 HAYES ROAD , SUITE 600
CLINTON TWP, MI 480383644

Contact Information

Phone 5869782359
Fax 5869782372
Enumeration Date 2007-10-11
Last Updated 2017-06-09

Taxonomies

Code: 225X00000X License State: MI License: 894907
Code: 225100000X License State: MI License: 926853
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47644

providerType 36

specialPaymentIndicator

carrierCode 08202

localityCode 01