Divine Destiny Development L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE DESTINY DEVELOPMENT L.L.C.

Doing business as

Mercy Companion & Non Skilled Care

Practice address

5408 Phillipsburg Dr
Raleigh, NC 27613-8202

Phone

(984) 291-9461

NPI assigned

Mar 24, 2022

Organization subpart

Yes

Parent organization

DIVINE DESTINY DEVELOPMENT L.L.C.As reported in NPPES

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

Authorized official

Name

Angela BrennanNPI 1033661475

Title

Owner

Phone

(984) 291-9461

Specialties & licenses 1

Addresses

Other names 1

• Mercy Companion & Non Skilled Care Doing business as

Part of

Divine Destiny Development LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Brennan

  • Licensed Practical Nurse
  • Cary, NC
  • NPI 1033661475
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1669122610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 PHILLIPSBURG DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138202",
            "telephone_number": "984-291-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 PHILLIPSBURG DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138202",
            "telephone_number": "984-291-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESTINY DEVELOPMENT L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE DESTINY DEVELOPMENT L.L.C.",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-291-9461"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Companion & Non Skilled Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Beatrice Dito, RDH
• Gabrielle Hope Ditrani, OTR/L
• Christine Denise Dittmer, M.D., MPH, MS
• Joshua Eugene Dittmer, M.D.
• Traci Annette Diveley, PTA
• Divine Grace Home Care
• Divine Grace Homecare Services, LLC
• Divine Grace Homecare Services, LLC
• Divine Grace in-Home & Private Healthcare Service
• Divine Healthcare, Inc.

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, 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 Mar 24, 2022; 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.