NPIMap

Organization Active NPI

Divine Home Care Inc

  • Case Manager/Care Coordinator
  • Raeford, NC
National Provider Identifier
1548494404
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
HC2882 Issued in NC
Legal business name
DIVINE HOME CARE INC
Practice address
310 Birch St
Raeford, NC 28376-3297
Phone
(910) 904-2377
Fax
(910) 904-2477
NPI assigned
May 7, 2009
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DIVINE HOMECARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Ms. Florine L Fleming, RN LIC #. 146850
Title
President
Phone
(910) 904-2377

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HC2882 NC
Home Health Agency 251E00000X HC2882 NC
Durable Medical Equipment & Medical Supplies 332B00000X HC2882 NC
Foster Care Agency 253J00000X HC2882 NC
In Home Supportive Care Agency 253Z00000X HC2882 NC
Case Manager/Care Coordinator 171M00000X HC2882 NC Primary

Addresses

Primary practice location

310 Birch St
Raeford, NC 28376-3297

Mailing address

310 Birch St
Raeford, NC 28376-3297
Phone (910) 904-2377

Other identifiers 1

IdentifierTypeStateIssuer
3408217MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Divine DME Services2 organizations share this tax ID, including this one
Part of
Asd-Cap Services II

Other organizations with this tax ID 1

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": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1548494404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763297",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763297",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HOMECARE LLC",
        "enumeration_date": "2009-05-07",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-904-2377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN LIC #. 146850"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "HC2882",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2882",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "HC2882",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": "HC2882",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2882",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "HC2882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

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