Organization Active NPI

Sincerely Divine Home Care LLC

  • In Home Supportive Care Agency
  • North Charleston, SC
National Provider Identifier
1578163572
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SINCERELY DIVINE HOME CARE LLC
Practice address
3618 Ashley Phosphate Rd Ste 3
North Charleston, SC 29418-8586
Phone
(843) 608-7012
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Tyechia Moody
Title
Owner
Phone
(843) 437-3963

Specialties & licenses 1

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

Addresses

Primary practice location

3618 Ashley Phosphate Rd Ste 3
North Charleston, SC 29418-8586

Mailing address

3618 Ashley Phosphate Rd Ste 3
North Charleston, SC 29418-8586
Phone (843) 608-7012

National Provider Directory

National Provider Directory

Locations

3618 Ashley Phosphate Rd
Ste 3
North Charleston, SC 29418
Phone (843) 608-7012

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1578163572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 ASHLEY PHOSPHATE RD STE 3",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188586",
            "telephone_number": "843-608-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 ASHLEY PHOSPHATE RD STE 3",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188586",
            "telephone_number": "843-608-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCERELY DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "TYECHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-437-3963"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.