Divine Grace Homecare Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE GRACE HOMECARE AGENCY, LLC

Doing business as

Divine Grace Homecare Agency, LLC

Practice address

4008 Bobtail CT
Greensboro, NC 27405-9808

Phone

(336) 210-8014

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By 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

Sherifat AnimashaunNPI 1689401598

Title

Owner

Phone

(336) 210-8014

Specialties & licenses 1

Addresses

Other names 1

• Divine Grace Homecare Agency, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherifat O Animashaun

  • Home Health Registered Nurse
  • Greensboro, NC
  • NPI 1689401598
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1730908187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 BOBTAIL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059808",
            "telephone_number": "336-210-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 BOBTAIL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059808",
            "telephone_number": "336-210-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "ANIMASHAUN",
        "authorized_official_first_name": "SHERIFAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-210-8014"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Grace Homecare Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Dimmette
• Ronald Leroi Dingle Jr., LPCA & LCAS-A
• District Unlimited LLC (District at Home)
• Divine Care Networks
• Divine Care Transportation LLC
• Divine Intervention Enterprises LLC
• Divine Measures Home Healthcare
• Divine Mercy Home Care LLC
• Divine Mercy Medical Health and Equipment Supply, Inc.
• Alysia Dixon, NNP-BC

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.