NPIMap

Organization Active NPI

Divine DME Services

  • Durable Medical Equipment & Medical Supplies
  • Raeford, NC
National Provider Identifier
1619285111
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HC2882 Issued in NC
Legal business name
DIVINE DME SERVICES
Practice address
755A S Main St
Raeford, NC 28376-3238
Phone
(910) 904-2377
Fax
(910) 904-2477
NPI assigned
Sep 17, 2010
Organization subpart
Yes
Parent organization
DIVINE HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mrs. Florine Fleming, RN
Title
Owner, Service Director
Phone
(910) 904-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HC2882 NC Primary

Addresses

Primary practice location

755A S Main St
Raeford, NC 28376-3238

Mailing address

755A S Main St
Raeford, NC 28376-3238
Phone (910) 904-2377

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

755 S Main St
#A
Raeford, NC 28376
Phone (910) 904-2377

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1619285111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755A S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763238",
            "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": "755A S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763238",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HOME CARE, LLC",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_title_or_position": "OWNER, SERVICE DIRECTOR",
        "authorized_official_telephone_number": "910-904-2377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "HC2882",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 2010; 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.