Organization
DIVINE HERITAGE HEALTH HOME CARE AGENCY LLC
Active
Parent organization
SENIOR HEALTH INFORMATION NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR HEALTH INFORMATION NETWORK
Authorized official
MARY LOUISE GAINES (HEALTH CARE ADMINISTRATOR)
(612) 440-2462
Entity
Organization
Contact information
Practice address
431 W WINTERGREEN RD, DESOTO, TX 75115-2394
(979) 803-0032
Mailing address
5757 N LINCOLN AVE STE 23, CHICAGO, IL 60659-4729
(872) 208-5385
(872) 208-5354
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
IL
251G00000X
Community Based Hospice Care Agency
—
IN
251J00000X
Nursing Care Agency
—
MN
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
TX
343900000X
Non-emergency Medical Transport (VAN)
—
IN
Other
Enumeration date
09/20/2017
Last updated
12/01/2020
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