NPIMap

Organization Active NPI

Divine Health Consultants

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1487062071
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4137 Issued in NC
Legal business name
DIVINE HEALTH CONSULTANTS
Practice address
5633 Monroe Rd
Charlotte, NC 28212-5591
Phone
(704) 512-0162
Fax
(704) 512-0165
NPI assigned
Jul 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Authorized official

Name
Doris Afam
Title
President
Phone
(803) 448-0251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4137 NC Primary

Addresses

Primary practice location

5633 Monroe Rd
Charlotte, NC 28212-5591

Mailing address

5633 Monroe Rd
Charlotte, NC 28212-5591
Phone (704) 512-0162

Other names 1

  • ALPHA HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Divine Health Consultants4 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": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1487062071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125591",
            "telephone_number": "704-512-0162",
            "fax_number": "704-512-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125591",
            "telephone_number": "704-512-0162",
            "fax_number": "704-512-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "AFAM",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-448-0251"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.