Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine 4 Support LLC

Organization Community Health Worker · NPI 1790558393

Divine 4 Support LLC is a Community Health Worker in Eastpointe, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15378 Veronica Ave
Eastpointe, MI 48021-3636
Phone: (313) 477-9642
Fax: (313) 521-3767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Community Health Worker Taxonomy 172V00000X
Home Health Agency Taxonomy 251E00000X
Attendant Care Provider Taxonomy 3747A0650X
Personal Care Attendant Taxonomy 3747P1801X
Nursing Home Administrator Taxonomy 376G00000X

Record details

NPI number1790558393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Boyd — Owner · (313) 477-9642
NPI enumeratedNovember 6, 2023
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address15378 Veronica Ave, Eastpointe, MI 48021-3636

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