# MIDWEST DIVINE HOME HELP SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Divine Compassionate Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942048319
- **Authorized official:** MR. JACKSON BYIRINGIRO (MANAGER AND CHAIRMAN)
- **Authorized official phone:** (616) 318-3760

## Contact information

- **Practice address:** 2715 ARBOR CHASE DR NE, GRAND RAPIDS, MI 49525-9451
- **Practice address phone:** (616) 318-3760
- **Mailing address:** 6673 VANTAGE DR SE, CALEDONIA, MI 49316-9079
- **Mailing address phone:** (616) 318-3760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | NULL | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024