Lorenzo Shewagn Divine Grainger

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LORENZO SHEWAGN DIVINE GRAINGER

Practice address

11020 David Taylor Dr
Charlotte, NC 28262-1101

Phone

(980) 432-2376

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Lorenzo Grainger

Title

Owner

Phone

(980) 432-2376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1215787254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 DAVID TAYLOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621101",
            "telephone_number": "980-432-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 DAVID TAYLOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621101",
            "telephone_number": "980-432-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO SHEWAGN DIVINE GRAINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "GRAINGER",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-432-2376"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Matthew Lorence, M,A., L.P.A.
• Anthony J Lorenger, PT
• William Richard Lorenz Jr.
• Gilberto Antonio Lorenzana
• Breeanna Elise Lorenzen
• Emily E Lorenzo, MD
• Loria Mobile Medicine PLLC
• Frank Loria
• Tekesha Lorick
• Jennifer Lorraine

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.