# DIVINE ROYAL CARE, LLC

> 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:** 1619330974
- **Authorized official:** MR. VICTOR O. WAGIDI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (303) 695-6684

## Contact information

- **Practice address:** 10730 E BETHANY DR STE 185, AURORA, CO 80014-2690
- **Practice address phone:** (303) 695-6684
- **Practice address fax:** (303) 856-3389
- **Mailing address:** 10730 E BETHANY DR STE 185, AURORA, CO 80014-2690
- **Mailing address phone:** (303) 695-6684
- **Mailing address fax:** (303) 856-3389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 14689740 | CO | Yes |

## Other

- **Enumeration date:** 04/03/2016
- **Last updated:** 04/03/2016