Active NPI
Absolutely Divine Home Care Agency, Inc.
- Nursing Care Agency
- Fayetteville, NC
National Provider Identifier
1154420362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- HC3037
- Legal business name
- ABSOLUTELY DIVINE HOME CARE AGENCY, INC.
- Practice address
- 7670 Raeford Rd
Fayetteville, NC 28304-5916 - Phone
- (910) 485-8463
- NPI assigned
- Sep 22, 2006
- Organization subpart
- Yes
- Parent organization
- ABSOLUTELY DIVINE HOME CARE AGENCY, INC.
Authorized official
NPPES NPI Registry- Name
- Ms. Denise Jones
- Title
- Ceo
- Phone
- (910) 485-8463
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Cheverly, MD
- NPI 1558964387
National Provider Directory
National Provider Directory- Tax ID family
- Absolutely Divine Home Care Agency Inc
- Part of
- Absolutely Divine Home Care Agency Inc
Locations
1830 Owen Dr
Ste 107
Fayetteville, NC 28304
Specialties & licenses 8
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | HC3037 | NC | |
| Nursing Care Agency | 251J00000X | HC3037 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | NC | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | HC3037 | NC | |
| Home Health Aide | 374U00000X | HC3037 | NC | |
| Respite Care | 385H00000X |
Addresses
NPPES NPI RegistryPrimary practice location
7670 Raeford Rd
Fayetteville, NC 28304-5916
Mailing address
PO Box 35781
Fayetteville, NC 28303-0781
Phone (910) 485-8463
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408515 | Medicaid | NC | |
| 6601297 | Medicaid | NC | |
| 7100631 | Medicaid | NC |
Other names 1
NPPES NPI Registry- Truly Divine, Inc.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2026.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1154420362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35781",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030781",
"telephone_number": "910-485-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7670 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283045916",
"telephone_number": "910-485-8463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTELY DIVINE HOME CARE AGENCY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ABSOLUTELY DIVINE HOME CARE AGENCY, INC.",
"enumeration_date": "2006-09-22",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-485-8463",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3037",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC3037",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "HC3037",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC3037",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408515",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601297",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100631",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Truly Divine, Inc.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Truly Divine, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.