Organization Active NPI

Divinehands Home Health Assistance, LLC

  • In Home Supportive Care Agency
  • Knightdale, NC
National Provider Identifier
1467066910
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINEHANDS HOME HEALTH ASSISTANCE, LLC
Practice address
1301 Cherry Hollow Way Apt 307
Knightdale, NC 27545-5945
Phone
(919) 520-9005
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Ms. Tamia Henry
Title
Owner
Phone
(919) 520-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1301 Cherry Hollow Way Apt 307
Knightdale, NC 27545-5945

Mailing address

1301 Cherry Hollow Way Apt 307
Knightdale, NC 27545-5945

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1467066910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CHERRY HOLLOW WAY APT 307",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CHERRY HOLLOW WAY APT 307",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455945",
            "telephone_number": "919-520-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINEHANDS HOME HEALTH ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "TAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-520-9005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 Cherry Hollow Way Apt 307",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275455945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.