# DIVINE AGAPE HEALTH CARE AGENCY

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

## Provider details

- **NPI number:** 1588362966
- **Authorized official:** MRS. MAE BEVERLY DOMINGO (CEO)
- **Authorized official phone:** (818) 397-0757

## Contact information

- **Practice address:** 300 E ESPLANADE DR STE 1720, OXNARD, CA 93036-0270
- **Practice address phone:** (805) 603-4244
- **Mailing address:** 300 E ESPLANADE DR STE 1670, OXNARD, CA 93036-0247
- **Mailing address fax:** (805) 919-0074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2023
- **Last updated:** 07/07/2025