Divine Trinity House of Hope

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE TRINITY HOUSE OF HOPE

Practice address

317 New Neely Ferry Rd Ste 1
Mauldin, SC 29662-2659

Phone

(864) 535-5540

Fax

(866) 209-0069

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Dianne Moates

Title

Owner

Phone

(864) 535-5540

Specialties & licenses 1

Addresses

Other names 1

• Divine Trinity House of Hope Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1467074377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296811505",
            "telephone_number": "864-535-5540",
            "fax_number": "866-209-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NEW NEELY FERRY RD STE 1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622659",
            "telephone_number": "864-535-5540",
            "fax_number": "866-209-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRINITY HOUSE OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MOATES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-535-5540"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dvthouseofhope@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "endd.llc@gmail.com",
            "address_1": "317 New Neely Ferry Rd Ste 1",
            "city": "Mauldin",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296622659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Divine Trinity House of Hope",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Mauldin, SC
• Providers in Mauldin, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.