Organization Active NPI

Divine Care Networks

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1841922119
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DIVINE CARE NETWORKS
Doing business as
Divine Care Networks
Practice address
2210 Lynette Dr
Greensboro, NC 27403-3717
Phone
(252) 903-0504
NPI assigned
Jun 27, 2022
Last updated
Jul 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Mrs. Lashunda Lynch PerryNPI 1861123390
Title
Owner
Phone
(252) 903-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2210 Lynette Dr
Greensboro, NC 27403-3717

Mailing address

2210 Lynette Dr
Greensboro, NC 27403-3717
Phone (252) 903-0504

Other identifiers 1

IdentifierTypeStateIssuer
1861123390MedicaidNC

Other names 1

  • Divine Care Networks Doing business as

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": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1841922119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LYNETTE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033717",
            "telephone_number": "252-903-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LYNETTE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033717",
            "telephone_number": "252-903-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE NETWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LASHUNDA",
        "authorized_official_middle_name": "LYNCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-903-0504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861123390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Care Networks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.