Organization
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Active
Organization
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Active
Parent organization
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Other names
DIVINE HOME CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Authorized official
DEBO OLANIYAN (PRESIDENT)
(708) 321-8218
Entity
Organization
Contact information
Practice address
1461 RING RD, CALUMET CITY, IL 60409-5459
(708) 321-8218
(708) 321-8219
Mailing address
15475 S PARK AVE STE 110, SOUTH HOLLAND, IL 60473-1378
(708) 321-8218
(708) 321-8219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
4000478
IL
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/09/2015
Last updated
05/09/2025
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