Rezina E Holland

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2785 Issued in NC

Legal business name

REZINA E HOLLAND

Doing business as

Divine Intervention Nursing Agency

Practice address

128 East Broad Street
Dunn, NC 28334-3200

Phone

(910) 829-1210

NPI assigned

Feb 14, 2007

Last updated

Jan 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rezina Holland

Title

Owner

Phone

(910) 829-1210

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Divine Intervention Nursing Agency Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1932242724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EAST BROAD STREET",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343200",
            "telephone_number": "910-829-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST BROAD STREET",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343200",
            "telephone_number": "910-829-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZINA E HOLLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "REZINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-829-1210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408214",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601126",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Intervention Nursing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saranya Ravi
• Vina Victoria Ravichandran, MD
• Redwood LTC Group, LLC (Harnett Woods Nursing and Rehabilitation Center)
• Heather L Reed, CFTS
• Christa Reid, LCSWA
• Rha Health Services NC LLC
• Sarah Rhodes
• Catherine Rhudy, OTR/L
• Richard E. Anglin, Jr. DDS, Ms, PA
• Megan Rimmer

• Home Health Agency in Dunn, NC
• Providers in Dunn, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.