# DIVINE DESTINATIONS LLC

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

## Provider details

- **NPI number:** 1043008063
- **Authorized official:** CASSANDRA L NEAL (OWNER/MANAGER)
- **Authorized official phone:** (219) 382-1000

## Contact information

- **Practice address:** 6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
- **Practice address phone:** (219) 382-0100
- **Mailing address:** 6883 TYLER ST, MERRILLVILLE, IN 46410-3337
- **Mailing address phone:** (219) 382-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2025
- **Last updated:** 04/29/2025