# DIVINE HEALTH HOME CARE SERVICES,INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023424827
- **Authorized official:** MRS. NORENE A ESSIEN-ETOKIMOH RN (ADMINITRATORR)
- **Authorized official phone:** (267) 686-4872

## Contact information

- **Practice address:** 6800 CASTOR AVE, SUITE C, PHILADELPHIA, PA 19149-2100
- **Practice address phone:** (267) 686-4872
- **Practice address fax:** (267) 686-4873
- **Mailing address:** 6800 CASTOR AVE, SUITE C, PHILADELPHIA, PA 19149-2100
- **Mailing address phone:** (267) 686-4872
- **Mailing address fax:** (267) 686-4873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 07/01/2014