Divine Destiny Adult Care Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DIVINE DESTINY ADULT CARE INC.

Practice address

612 Powell St
Smithfield, NC 27577-3118

Phone

(919) 934-7144

Fax

(877) 778-8178

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Boylan

Title

Executive Director

Phone

(919) 934-7144

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1740537489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 POWELL ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773118",
            "telephone_number": "919-934-7144",
            "fax_number": "877-778-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 POWELL ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773118",
            "telephone_number": "919-934-7144",
            "fax_number": "877-778-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESTINY ADULT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-934-7144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharina Dewald, PMHNP
• Donna Moseley Dewberry, RPH
• Jerda Diaz Diaz, BEHAVIOR TECHNICIAN
• Jeri Elizabeth Dickinson, M.D.
• Kathrine Dinabourgski, OTR/L
• Divine Loving Care, LLC
• Alexis Sanders Dixon, CCC-SLP
• DJ'S House Crop
• Martha Dockery
• Amy Donnelly, PHARMD, RPH

• Adult Day Care Clinic/Center in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.