Divine Grace Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE GRACE HOME CARE

Practice address

5633 Quitman TRL
Raleigh, NC 27610-6475

Phone

(919) 370-0860

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Sanbena Emeto

Title

Administrator

Phone

(919) 370-0860

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1871107680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 QUITMAN TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106475",
            "telephone_number": "919-370-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 QUITMAN TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106475",
            "telephone_number": "919-370-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "EMETO",
        "authorized_official_first_name": "SANBENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-370-0860"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Hope Ditrani, OTR/L
• Christine Denise Dittmer, M.D., MPH, MS
• Joshua Eugene Dittmer, M.D.
• Traci Annette Diveley, PTA
• Divine Destiny Development L.L.C.
• Divine Grace Homecare Services, LLC
• Divine Grace Homecare Services, LLC
• Divine Grace in-Home & Private Healthcare Service
• Divine Healthcare, Inc.
• Divine Legends LLC

• In Home Supportive Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.