# DIVINITY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divinity Home Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457127789
- **Authorized official:** DEXTER D CROUCH (OWNER)
- **Authorized official phone:** (317) 945-3947

## Contact information

- **Practice address:** 14872 BELLAMY CT, FISHERS, IN 46037-5545
- **Practice address phone:** (317) 945-3947
- **Mailing address:** 14872 BELLAMY CT, FISHERS, IN 46037-5545
- **Mailing address phone:** (317) 945-3947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 03/01/2024