Divine Support Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE SUPPORT SERVICES, LLC.

Practice address

51 Plaza Dr # D-2
Jacksonville, NC 28540-5068

Phone

(800) 622-1325

NPI assigned

Oct 29, 2024

Last updated

Jul 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Jordan, DHA

Title

Ceo

Phone

(800) 622-1325

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1730901943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 WESTERN BLVD APT 523",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460014",
            "telephone_number": "800-622-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PLAZA DR # D-2",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405068",
            "telephone_number": "800-622-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SUPPORT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-622-1325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.