Organization Active NPI

Divine Favor Inc,

  • Case Management Agency
  • Murfreesboro, NC
National Provider Identifier
1619113131
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIVINE FAVOR INC,
Practice address
1137 Virginia Blvd
Murfreesboro, NC 27855-1129
Phone
(252) 396-1551
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Ms. Elaine NMN Fleetwood, BSW
Title
Ceo Case Manager
Phone
(252) 396-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1137 Virginia Blvd
Murfreesboro, NC 27855-1129

Mailing address

1137 Virginia Blvd
P.O, Box 686
Murfreesboro, NC 27855-1129
Phone (252) 396-1551

National Provider Directory

National Provider Directory

Locations

1137 Virginia Blvd
Murfreesboro, NC 27855
Phone (252) 396-1551

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1619113131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 VIRGINIA BLVD",
            "address_2": "P.O, BOX 686",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551129",
            "telephone_number": "252-396-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 VIRGINIA BLVD",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551129",
            "telephone_number": "252-396-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAVOR INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "FLEETWOOD",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "CEO CASE MANAGER",
        "authorized_official_telephone_number": "252-396-1551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, NC

Sources for this page

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