Organization Active NPI

Divine Healing Home Health Care Services LLC

  • In Home Supportive Care Agency
  • Simpsonville, SC
National Provider Identifier
1679814065
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE HEALING HOME HEALTH CARE SERVICES LLC
Practice address
310 Laurel Tree LN
Simpsonville, SC 29681-5142
Phone
(864) 987-0620
Fax
(864) 987-0920
NPI assigned
Mar 8, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Teresa Lashon McCarroll
Title
Ceo
Phone
(864) 987-0629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

310 Laurel Tree LN
Simpsonville, SC 29681-5142

Mailing address

310 Laurel Tree LN
Simpsonville, SC 29681-5142
Phone (864) 987-0620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1679814065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAUREL TREE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815142",
            "telephone_number": "864-987-0620",
            "fax_number": "864-987-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAUREL TREE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815142",
            "telephone_number": "864-987-0620",
            "fax_number": "864-987-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "MCCARROLL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LASHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-987-0629"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.