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Provider Demographic Information - DIVINITY HOMECARE SERVICES LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	DIVINITY HOMECARE SERVICES LLC
Address:	313 BAINBRIDGE ST FL 1 PHILADELPHIA, PA 19147-1542
Phone:	(267) 348-4248
E-mail:	DIVINITYHOMECARESERVICES@GMAIL.COM
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	DIVINITY HOMECARE SERVICES
Address:	313 BAINBRIDGE ST FL 1 PHILADELPHIA, PA 19147-1542
Phone:	(267) 348-4248

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Bucks
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day

County : Chester
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day

County : Delaware
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day

County : Montgomery
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day

County : Philadelphia
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day

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