Divine Care Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE CARE HOME CARE SERVICES LLC

Practice address

6150 Woodside Executive CT
Aiken, SC 29803-3820

Phone

(844) 954-5334

Fax

(706) 262-7888

NPI assigned

Sep 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Namir H Coles

Title

Owner

Phone

(844) 954-5334

Specialties & licenses 2

Addresses

Other names 1

• DIVINE CARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1043046220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 CHANUPA CT",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133817",
            "telephone_number": "844-954-5334",
            "fax_number": "706-262-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033820",
            "telephone_number": "844-954-5334",
            "fax_number": "706-262-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "NAMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-954-5334"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Howard Dewitt, M.D.
• Francis J Dibona, M.D.
• Kathleen Laverne Dicks
• James Daniel Dillon Jr., MD
• Madison Danielle Dinkins, DDS
• Divine Restoration Hair Services LLC
• Roosevelt Dixon
• Thaddeus Dixon, CACP
• Naquita Michelle Dixson, DMD
• Dejan Djolic, DC

• Home Health Agency in Aiken, SC
• Providers in Aiken, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.