NPIMap

Organization Active NPI

Divinity Personal Care, LLC

  • In Home Supportive Care Agency
  • Charleston, SC
National Provider Identifier
1760841027
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINITY PERSONAL CARE, LLC
Practice address
112 Lochaven Dr
Apt 207
Charleston, SC 29414-5978
Phone
(843) 277-4502
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Mr. Shawn Gathers, MS, MHPNPI 1942753587
Title
Manager
Phone
(843) 277-4502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

112 Lochaven Dr
Apt 207
Charleston, SC 29414-5978

Mailing address

112 Lochaven Dr
Apt 207
Charleston, SC 29414-5978
Phone (843) 277-4502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1760841027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LOCHAVEN DR",
            "address_2": "APT 207",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145978",
            "telephone_number": "843-277-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LOCHAVEN DR",
            "address_2": "APT 207",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145978",
            "telephone_number": "843-277-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GATHERS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-277-4502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MHP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.