Divine Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HEALTHCARE SERVICES, LLC

Practice address

309 S Calhoun St
Greenville, SC 29601-4007

Phone

(864) 401-3113

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Charlene M Scott

Title

Executive Administrator

Phone

(864) 401-3113

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1497112569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S CALHOUN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014007",
            "telephone_number": "864-401-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S CALHOUN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014007",
            "telephone_number": "864-401-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-401-3113"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Elizabeth Discipio
• Abigael Lynn Dishler, DO
• Kylie Dishman
• Joanna Clark Dittenhauser, MED, EDS, NCC, LPC-A
• Alaina Marie Diumberto, PTA
• Divine Hearts Homecare LLC
• Divine Hospice LLC
• Divinity Healthcare, LLC
• Divinity Healthcare, LLC
• Austin Dixon, PT, DPT

• In Home Supportive Care Agency in Greenville, SC
• Providers in Greenville, 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 Jan 20, 2016; 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.