CCN: 757612 NPI: 1144989161 Organization

Divine Providence Home Health Care

22151 VENTURA BLVD STE 200A
WOODLAND HILLS, CA 913641666

Contact Information

Phone 7478003815
Fax 7478003814
Enumeration Date 2021-12-17
Last Updated 2021-12-17

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18