# DIVINE HEALTH CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1548090061
- **Authorized official:** JASBIR KAUR (CEO)
- **Authorized official phone:** (571) 233-3904

## Contact information

- **Practice address:** 22279 RAMPSBECK TER, ASHBURN, VA 20148-4146
- **Practice address phone:** (571) 439-4741
- **Mailing address:** 22279 RAMPSBECK TER, ASHBURN, VA 20148-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 02/24/2025