# DIVINE HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1285104679
- **Authorized official:** EMMANUEL CHIKE OKEKE DIRECTOR (PRESIDENT)
- **Authorized official phone:** (317) 918-7545

## Contact information

- **Practice address:** 4028 VILLAGE TRACE BLVD, INDIANAPOLIS, IN 46254-6218
- **Practice address phone:** (317) 918-7545
- **Mailing address:** PO BOX 532491, INDIANAPOLIS, IN 46253-2491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 11/28/2018