Divine Intervention

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DIVINE INTERVENTION

Practice address

1415 Holloway St
Durham, NC 27703-2125

Phone

(919) 638-8461

Fax

(919) 683-3172

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Theresa Lynn Frye

Title

Ceo

Phone

(919) 638-8461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1477707255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1885",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277021885",
            "telephone_number": "919-638-8461",
            "fax_number": "919-683-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HOLLOWAY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032125",
            "telephone_number": "919-638-8461",
            "fax_number": "919-683-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-638-8461"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diverse Family Services
• Diversified Multicultural Healthcare Research Services, Inc.
• Diversified Multicultural Healthcare Research Services, Inc.
• Divine Behavioral Health Solutions L.L.C.
• Divine Connection of Durham, LLC
• Divine Wonders Home Care, LLC
• Divineconnectionhomecareagency,LLC
• Mrunmayi Diwan, PA-C
• Amy Ellis Dixon, CNM, MSN
• Austin Xavier Dixon, MD

• Case Management Agency in Durham, NC
• Providers in Durham, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.