# DIVICARE HOME HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1316431547
- **Authorized official:** EDITH CHINYERE MONTGOMERY RN (OWNER)
- **Authorized official phone:** (469) 583-9678

## Contact information

- **Practice address:** 8005 N MACARTHUR BLVD APT 2017, IRVING, TX 75063-7648
- **Practice address phone:** (469) 583-9678
- **Practice address fax:** (214) 889-7700
- **Mailing address:** 8005 N MACARTHUR BLVD APT 2017, IRVING, TX 75063-7648
- **Mailing address phone:** (469) 583-9678
- **Mailing address fax:** (214) 889-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 04/24/2021