Active NPI
Divine Living Home Care Agency
- In Home Supportive Care Agency
- Whiteville, NC
National Provider Identifier
1851531099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIVINE LIVING HOME CARE AGENCY
- Practice address
- 403 N JK Powell Blvd
Whiteville, NC 28472-3128 - Phone
- (910) 625-9775
- NPI assigned
- Feb 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leanna Ward Griffin
- Title
- Vice President
- Phone
- (910) 625-9775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NC | Primary |
Addresses
Primary practice location
403 N JK Powell Blvd
Whiteville, NC 28472-3128
Mailing address
403 N JK Powell Blvd
Whiteville, NC 28472-3128
Phone (910) 625-9775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601861 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Divine Living Home Care Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Whiteville, NC
- NPI 1760795215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279497600000",
"number": "1851531099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 N JK POWELL BLVD",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723128",
"telephone_number": "910-625-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 N JK POWELL BLVD",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723128",
"telephone_number": "910-625-9775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE LIVING HOME CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-28",
"last_updated": "2010-07-19",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "LEANNA",
"authorized_official_middle_name": "WARD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "910-625-9775"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601861",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.