# DIVINE HOME HEALTH, INC.

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

## Provider details

- **NPI number:** 1831107093
- **Authorized official:** MR. HAN S. KIM (ADMINISTRATOR)
- **Authorized official phone:** (562) 407-0288

## Contact information

- **Practice address:** 14241 FIRESTONE BLVD STE 235, LA MIRADA, CA 90638-5521
- **Practice address phone:** (562) 407-0288
- **Practice address fax:** (562) 407-0290
- **Mailing address:** 14241 FIRESTONE BLVD STE 235, LA MIRADA, CA 90638-5521
- **Mailing address phone:** (562) 407-0288
- **Mailing address fax:** (562) 407-0290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001120 | CA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 04/04/2025