Divine Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3012 Issued in NC

Legal business name

DIVINE HOMECARE LLC

Practice address

5511 Raeford Rd
Fayetteville, NC 28304-2057

Phone

(910) 429-7481

Fax

(910) 429-7480

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

DIVINE HOMECARE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Florine L Fleming

Title

Owner/Service Director

Phone

(910) 904-2377

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Asd-Cap Services II2 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.

• Asd-Cap Services II

  • Home Health Agency
  • Charlotte, NC
  • NPI 1861667214
  NPD tax ID

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1578797569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S MAIN ST",
            "address_2": "SUITE B",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763258",
            "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": "5511 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-429-7481",
            "fax_number": "910-429-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HOMECARE LLC",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SERVICE DIRECTOR",
        "authorized_official_telephone_number": "910-904-2377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Comfort Transportation LLC
• Divine Doula Goddess Inc
• Divine Family Practice and Urgent Care, PLLC
• Divine Family Practice and Urgent Care, PLLC
• Divine Home Care Agency LLC
• Divine Touch Massage Therapy, LLC
• Brenda M. Dixon
• Gabrielle Dixon
• Mari Dixon, NP-C
• Samoht Dixon

• Home Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.