# DIVINE HUMANITY HOMECARE LLC.

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

## Provider details

- **NPI number:** 1912520529
- **Authorized official:** MS. MONICA ANDREA PARKS (CEO/OWNER)
- **Authorized official phone:** (904) 413-6381

## Contact information

- **Practice address:** 841 PRUDENTIAL DR STE 1214, JACKSONVILLE, FL 32207-8329
- **Practice address phone:** (904) 371-6586
- **Mailing address:** 841 PRUDENTIAL DR STE 1214, JACKSONVILLE, FL 32207-8329
- **Mailing address phone:** (904) 371-6586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 05/14/2025
