Organization Active NPI

Absolutely Divine Home Care Agency, Inc.

  • Nursing Care Agency
  • Fayetteville, NC
National Provider Identifier
1154420362
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC3037 Issued in NC
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.As reported in NPPES

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.

National Provider Directory

National Provider Directory
Tax ID family
Absolutely Divine Home Care Agency Inc (2 organizations share this tax ID)
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)CodeLicenseStatePrimary
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 AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X HC3037 NC
Respite Care 385H00000X

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
3408515MedicaidNC
6601297MedicaidNC
7100631MedicaidNC

Other names 1

NPPES NPI Registry
  • Truly Divine, Inc. Other name

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.

Verify at the official NPI Registry.