Divine Health Academy

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

4484 Issued in NC

Legal business name

DIVINE HEALTH ACADEMY

Practice address

2 1/2 E Warren St
10
Shelby, NC 28150-5355

Phone

(704) 954-4436

Fax

(704) 512-0165

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Diris Afam

Title

President

Phone

(803) 448-0251

Specialties & licenses 5

Addresses

Other names 1

• D&C HOME CARE SERVICES Doing business as

Tax ID family

D C Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine Health Academy

  • Home Health Agency
  • Albemarle, NC
  • NPI 1417307521
  NPD tax ID

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1588021422",
    "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": "704-566-2955",
            "fax_number": "704-566-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 E WARREN ST",
            "address_2": "10",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505355",
            "telephone_number": "704-954-4436",
            "fax_number": "704-512-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "AFAM",
        "authorized_official_first_name": "DIRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-448-0251"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "4484",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "4484",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "4484",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "4484",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&C HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dialysis Clinic Inc.
• Brittany Blanton Dick, FNP
• Jamie Bowen Dills, DPT
• Directcare Community Base Service,LLC
• Celena Haaland Ditz
• Andrew Cleveland Dodson
• Robert M Dorn, M.D.
• Douglas C. Huitt D.D.S., P.a.
• Carl Dowdell, LCSW, LCAS
• Courtney Bramlett Dressel, LMFT

• In Home Supportive Care Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.