Active NPI
Moore Divine Care Inc
- In Home Supportive Care Agency
- Grensboro, NC
National Provider Identifier
1255917977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MOORE DIVINE CARE INC
- Doing business as
- Moore Divine Care Inc
- Practice address
- 4006 Mountian Ridge Dr
Grensboro, NC 27401 - Phone
- (910) 587-9140
- NPI assigned
- Mar 23, 2021
- Last updated
- Mar 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martina Thompson
- Title
- Ceo
- Phone
- (910) 587-9140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
4006 Mountian Ridge Dr
Grensboro, NC 27401
Mailing address
4006 Moutianridge Drive
Greensboro, NC 27401
Phone (910) 587-9140
Other names 1
- Moore Divine Care Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1255917977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 MOUTIANRIDGE DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "910-587-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 MOUNTIAN RIDGE DR",
"city": "GRENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "910-587-9140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE DIVINE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARTINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-587-9140"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moore Divine Care Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.