Organization · Type 2 NPI

Divine Medical Equipment Supply Company

In Home Supportive Care Agency · Calumet City, IL

NPI number 1629461207 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, Suite 110
South Holland, IL 60473-1328

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency Primary	253Z00000X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

3 other providers at this address

Other in home supportive care agency providers in Calumet City

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NPI record

NPI: 1629461207
Entity type: Organization (Type 2)
Issued: Mar 6, 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

Mr. Debo Olaniyan
President
(708) 321-8218

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About NPI 1629461207

Divine Medical Equipment Supply Company's National Provider Identifier is 1629461207, issued on Mar 6, 2015. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Calumet City, IL. The record was last updated on May 9, 2025.