Organization · Type 2 NPI

Divine Care Services LLC

Adult Companion · Hawthorne, FL

NPI number 1013446475 Active

Practice location

21212 SE 62nd Ave
Hawthorne, FL 32640

Call (352) 870-9651 Map

Other practice locations

21212 SE 62nd Ave, Hawthorne, FL 32640 · (352) 870-9651

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None listed
Home Health Aide	374U00000X	49023 (FL)
Homemaker	376J00000X	232986 (FL)

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

NPI record

NPI: 1013446475
Entity type: Organization (Type 2)
Issued: Jun 8, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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Divine Care Services LLC · doing business as
Divine Care Services LLC · doing business as

Authorized official

Natasha Shantel Williams
CEO
(352) 870-9651

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013446475

Divine Care Services LLC's National Provider Identifier is 1013446475, issued on Jun 8, 2017. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Hawthorne, FL. The record was last updated on Jul 21, 2022.