Organization
DIVINE HOME COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHINYERE MADUBUKO (DIRECTOR)
(240) 334-1121
Entity
Organization
Contact information
Practice address
5000 SUNNYSIDE AVE STE 101, BELTSVILLE, MD 20705-2327
(240) 334-1121
(240) 540-4963
Mailing address
12902 OLD CHAPEL RD, BOWIE, MD 20720-4616
(240) 334-1121
(240) 540-4963
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/19/2022
Last updated
11/09/2025
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