# C & R DIVINE HANDS OF CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578935607
- **Authorized official:** MRS. CAROLYN D JORDAN (SERVICE FACILITATOR)
- **Authorized official phone:** (757) 201-0229

## Contact information

- **Practice address:** 3741 HISTORYLAND DR, VIRGINIA BEACH, VA 23452-3307
- **Practice address phone:** (757) 201-0229
- **Practice address fax:** (757) 648-1207
- **Mailing address:** 3741 HISTORYLAND DR, VIRGINIA BEACH, VA 23452-3307
- **Mailing address phone:** (757) 201-0229
- **Mailing address fax:** (757) 648-1207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0443787070 | VA | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0178313646 | API | VA |