Active NPI
Divine Nurse Consultant LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1619516580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIVINE NURSE CONSULTANT LLC
- Doing business as
- Divine Home Care Services
- Practice address
- 5633 Monroe Rd
Charlotte, NC 28212-5591 - Phone
- (980) 622-8530
- Fax
- (803) 329-5902
- NPI assigned
- Dec 24, 2019
- Organization subpart
- Yes
- Parent organization
- DIVINE NURSE CONSULTAANT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clifford Chuks Afam
- Title
- Director
- Phone
- (980) 622-8530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5633 Monroe Rd
Charlotte, NC 28212-5591
Mailing address
5633 Monroe Rd
Charlotte, NC 28212-5591
Phone (980) 622-8530
Other names 1
- Divine Home Care Services
National Provider Directory
National Provider Directory- Tax ID family
- Divine Nurse Consultant LLC
- Part of
- Divine Nurse Consultant LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1942849435
Locations
5633 Monroe Rd
Charlotte, NC 28212
Phone (803) 448-0251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577145600000",
"number": "1619516580",
"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": "980-622-8530",
"fax_number": "803-329-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 MONROE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282125591",
"telephone_number": "980-622-8530",
"fax_number": "803-329-5902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE NURSE CONSULTANT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIVINE NURSE CONSULTAANT LLC",
"enumeration_date": "2019-12-24",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A",
"authorized_official_last_name": "AFAM",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "CHUKS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "980-622-8530",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Divine Home Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.