Organization Active NPI

Divine Living Home Care Agency

  • In Home Supportive Care Agency
  • Whiteville, NC
National Provider Identifier
1851531099
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6601861MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Divine Living Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.