Organization Active NPI

Divine Home Care and Family Interventions Inc

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1710208855
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4107 Issued in NC
Legal business name
DIVINE HOME CARE AND FAMILY INTERVENTIONS INC
Practice address
4334 Cinderella Rd
Charlotte, NC 28213-6616
Phone
(704) 649-0462
NPI assigned
Jun 11, 2010
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Adrian Hill
Title
Ceo
Phone
(704) 649-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4107 NC Primary

Addresses

Primary practice location

4334 Cinderella Rd
Charlotte, NC 28213-6616

Mailing address

PO Box 16935
Charlotte, NC 28297-6935
Phone (704) 649-0462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1710208855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16935",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282976935",
            "telephone_number": "704-649-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 CINDERELLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136616",
            "telephone_number": "704-649-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE AND FAMILY INTERVENTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-649-0462"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.