Organization Active NPI

Divine Favor Homecare Services, LLC.

  • In Home Supportive Care Agency
  • Henderson, NC
National Provider Identifier
1700598190
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE FAVOR HOMECARE SERVICES, LLC.
Doing business as
Divine Favor HomeCare Services, LLC.
Practice address
1922 N Garnett St
Henderson, NC 27536-2723
Phone
(252) 204-2867
Fax
(252) 456-3768
NPI assigned
Dec 19, 2022
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Miss Deborah Ann Davis
Title
Owner/Director
Phone
(252) 204-2867

Specialties & licenses 1

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

Addresses

Primary practice location

1922 N Garnett St
Henderson, NC 27536-2723

Mailing address

PO Box 1056
Norlina, NC 27563-1056
Phone (252) 204-2867

Other names 1

  • Divine Favor HomeCare Services, LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

1922 N Garnett St
Henderson, NC 27536
Phone (252) 204-2867

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1700598190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275631056",
            "telephone_number": "252-204-2867",
            "fax_number": "252-456-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 N GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362723",
            "telephone_number": "252-204-2867",
            "fax_number": "252-456-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAVOR HOMECARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "252-204-2867",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Favor HomeCare Services, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.