Organization Active NPI

Divine Alternatives, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Leland, NC
National Provider Identifier
1194042424
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
DIVINE ALTERNATIVES, LLC
Practice address
9505 Huckabee Dr NE
Leland, NC 28451-9261
Phone
(910) 262-3884
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Monica Carter
Title
Executive Director- Ceo
Phone
(678) 548-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

9505 Huckabee Dr NE
Leland, NC 28451-9261

Mailing address

9505 Huckabee Dr NE
Leland, NC 28451-9261
Phone (910) 262-3884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1194042424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 HUCKABEE DR NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519261",
            "telephone_number": "910-262-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 HUCKABEE DR NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519261",
            "telephone_number": "910-262-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ALTERNATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR- CEO",
        "authorized_official_telephone_number": "678-548-3523"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.