Organization Active NPI

Divine Purpose Services Limited LLC

  • Case Management Agency
  • Rock Hill, SC
National Provider Identifier
1679116156
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIVINE PURPOSE SERVICES LIMITED LLC
Practice address
2025 Ebenezer Rd Ste J4
Rock Hill, SC 29732-1079
Phone
(704) 300-5544
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Brandy Ussery
Title
Owner
Phone
(704) 300-5544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2025 Ebenezer Rd Ste J4
Rock Hill, SC 29732-1079

Mailing address

100 Leslie Dr
Shelby, NC 28152-0757
Phone (704) 300-5544

National Provider Directory

National Provider Directory
Tax ID family
Divine Purpose Services Limited LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1679116156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LESLIE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281520757",
            "telephone_number": "704-300-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD STE J4",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321079",
            "telephone_number": "704-300-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PURPOSE SERVICES LIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-300-5544"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.