Divinity Advantage Personal Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINITY ADVANTAGE PERSONAL CARE

Practice address

2387 Worrell Rd
Utica, MS 39175-9302

Phone

(601) 885-2360

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn K Divinity, MSW

Title

Co-Owner/Manager

Phone

(601) 885-2360

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1225489487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 WORRELL RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 WORRELL RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759302",
            "telephone_number": "601-885-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY ADVANTAGE PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "DIVINITY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "601-885-2360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.