Divinity Healthcare Services, Inc

Organization Active NPI Home Health Agency · Bailey, NC

NPI 1801923156 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1801923156
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC3070 (NC)
Legal business name
DIVINITY HEALTHCARE SERVICES, INC
Practice address
6193 Main St
Bailey, NC 27807-0157
Phone
(252) 235-0404
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

Name
Shirleree Sutton Winstead
Title
Ceo
Phone
(252) 235-0404

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3070 NC Yes

Addresses

Primary practice location

6193 Main St
Bailey, NC 27807-0157

Mailing address

6193 Main St.
Bailey, NC 27807
Phone (252) 235-0404

Other identifiers

IdentifierTypeStateIssuer
3408862MedicaidNC
6601311MedicaidNC

Other providers in Bailey, NC

All providers in Bailey, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.