Divinity Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINITY HOMECARE LLC

Practice address

8011 N Point Blvd BLDG Ste a-4
Winston Salem, NC 27106-3879

Phone

(336) 999-7121

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Candis Renee McCarthy

Title

Ceo

Phone

(336) 423-6795

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1295323533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 N POINT BLVD STE A-4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063879",
            "telephone_number": "336-999-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 N POINT BLVD BLDG STE A-4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063879",
            "telephone_number": "336-999-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-423-6795"
    },
    "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": []
}

• Disablity Advocacy and Information Service, Inc.
• Distinct Clinicians Incorporated
• Allyson Nicole Distler, DO
• Diversified Choice
• Divinity Health & Wellness PLLC
• Divinity Wellness Center PLLC
• Brianna Renee Dix, M.D.
• Aarti Dixit, M.D.
• Ashley Dixon, PTA
• Bridgette Dixon, PA-C

• In Home Supportive Care Agency in Winston Salem, NC
• Providers in Winston Salem, 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 20, 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.

Verify at the official NPI Registry.