Active NPI
Divine Health and Wellness Home Care LLC
- Home Health Agency
- Salisbury, NC
National Provider Identifier
1679258719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.