# DIVINE HOME HEALTH CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1538915020
- **Authorized official:** MR. AKIN BRAIMAH (DIRECTOR)
- **Authorized official phone:** (973) 563-2139

## Contact information

- **Practice address:** 811 MARKET ST, GLOUCESTER CITY, NJ 08030-1811
- **Practice address phone:** (973) 563-2139
- **Mailing address:** 9 NUTMEG DR, LUMBERTON, NJ 08048-4218
- **Mailing address phone:** (973) 563-2139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 12/22/2025