NPIMap

Organization Active NPI

Divine Guidance Integrative Services, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greenville, NC
National Provider Identifier
1467642991
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
DIVINE GUIDANCE INTEGRATIVE SERVICES, INC
Practice address
2317 Executive Cir
Suite B
Greenville, NC 27834-3762
Phone
(252) 695-6040
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Jeffrey Ward
Title
Director
Phone
(252) 695-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

2317 Executive Cir
Suite B
Greenville, NC 27834-3762

Mailing address

2317 Executive Cir
Suite B
Greenville, NC 27834-3762
Phone (252) 695-6040

Other identifiers 1

IdentifierTypeStateIssuer
8301931BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Divine Guidance Integrative Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1467642991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-695-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-695-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GUIDANCE INTEGRATIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-695-6040"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301931B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.