Divine and Favor Residential Care
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Employee Resources

Home » Employee Resources

  • Hospice Foundation of America www.hospicefoundation.org
  • Medicare www.medicare.gov
  • Home Care Association of Americawww.hcaoa.org
  • National Association for Home Care and Hospice
    www.nahc.org
  • American Physical Therapy Association
    www.apta.org
  • Centers for Medicare & Medicaid Services (CMS)
    www.cms.gov
  • Employee’s Withholding Certificate
  • Adult Day Support Service Delivery
  • Annual Review Form Agency
  • Daily HPC Documentation
  • Direct Deposit Authorization Form
  • Consumer Assessment Form
  • DSP Job Description
  • HPC_Documentation
  • HPC Documentation Personal Care Form
  • I-9 Employment Eligibility Verification
  • Incident Report Form
  • Non-Medical Transportation–Daily Inspection Form
  • Ohio withholding IT4 Combined(Employee’s Withholding Exemption Certificate)
  • Outcome Documentation Template Ohio ISP
  • Per Mile Non-Medical Transportation
  • Per Trip Non-Medical Transportation
  • Residency Agreement Form
  • Respite Disclaimer Form(FAMILY SUPPORT SERVICES DISCLAIMER FORM)
  • Respite Disclaimer Form
  • Shared Living – SERVICE DELIVERY DOCUMENTATION FORM
  • Transportation – SERVICE DELIVERY DOCUMENTATION FORM
  • Transportation Daily Inspection Form
  • UNUSUAL INCIDENT REPORT LOG
  • Vocational Habilitation – SERVICE DELIVERY DOCUMENTATION FORM

Reach Out to Us Contact Information

Services Areas Covered: Entire State of Ohio

  • Name of Contact Person:

    Henriette Losokola: Director Of Operation (DOO)

    Pascal Lomandjo: Agency Manager (AM)

  • Office/Facility location: 6627 Borr Avenue Reynoldsburg, OH 43068
  • Phone Number: 614-446-2318 217-419-8023
  • Email: info@divineandfavorresidentialcarellc.com
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