Divine Legends LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE LEGENDS LLC

Practice address

555 Fayetteville St Ste 201
Raleigh, NC 27601-3034

Phone

(919) 348-6246

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Chasity Davis

Title

Owner

Phone

(919) 348-6246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1205352697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41071",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276291071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE ST STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013034",
            "telephone_number": "919-348-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LEGENDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-348-6246"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Grace Home Care
• Divine Grace Homecare Services, LLC
• Divine Grace Homecare Services, LLC
• Divine Grace in-Home & Private Healthcare Service
• Divine Healthcare, Inc.
• Divine Medical Equipment Supplies, Inc.
• Divine Supportive Homes Inc
• Prashant Pramodkumar Diwan
• Doyle Thomas Dix Jr., CRNA
• Savitri Virginia Dixon-Saxon, PH.D.

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.