Organization Active NPI

Divine Health and Wellness Home Care LLC

  • Home Health Agency
  • Salisbury, NC
National Provider Identifier
1679258719
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE HEALTH AND WELLNESS HOME CARE LLC
Practice address
165 Mahaley Ave Ste 1060
Salisbury, NC 28144-2448
Phone
(704) 970-7998
Fax
(980) 330-5020
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Tamika Burns, BSN, RN
Title
Owner
Phone
(704) 970-7998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

165 Mahaley Ave Ste 1060
Salisbury, NC 28144-2448

Mailing address

165 Mahaley Ave Ste 1060
Salisbury, NC 28144-2448
Phone (704) 970-7998

National Provider Directory

National Provider Directory

Locations

165 Mahaley Ave
Ste 1060
Salisbury, NC 28144
Phone (704) 970-7998

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1679258719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAHALEY AVE STE 1060",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442448",
            "telephone_number": "704-970-7998",
            "fax_number": "980-330-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAHALEY AVE STE 1060",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442448",
            "telephone_number": "704-970-7998",
            "fax_number": "980-330-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH AND WELLNESS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-970-7998",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.