Organization · Type 2 NPI

Divine Medical Equipment Supply Company

Nursing Care Agency · Calumet City, IL

NPI number 1427426378 Active

Practice location

1461 Ring Rd
Calumet City, IL 60409-5459

Call (708) 321-8218 Map

Fax (708) 321-8219

Mailing address

15475 S Park Ave Ste 110
South Holland, IL 60473-1378

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Nursing Care Agency Primary	251J00000X	4000478 (IL)
In Home Supportive Care Agency	253Z00000X	None listed

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

3 other providers at this address

Other nursing care agency providers in Calumet City

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NPI record

NPI: 1427426378
Entity type: Organization (Type 2)
Issued: Sep 9, 2015
Last updated: May 9, 2025
Status: Active
Subpart: Yes of Divine Medical Equipment Supply Company

Other names

<unavail>
Divine Home Care Services · doing business as
Divine Home Care Services · doing business as

Authorized official

Debo Olaniyan
President
(708) 321-8218

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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 1427426378

Divine Medical Equipment Supply Company's National Provider Identifier is 1427426378, issued on Sep 9, 2015. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Calumet City, IL. The record was last updated on May 9, 2025.