Divine Nurse Consultant

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC1361 Issued in SC

Legal business name

DIVINE NURSE CONSULTANT

Practice address

2210 Oak Pond Rd
Rock Hill, SC 29730-7958

Phone

(803) 329-4494

Fax

(803) 329-5902

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Clifford C Afam

Title

Director

Phone

(980) 622-8530

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DIVINE MANOR ASSISTED LIVING Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Divine Nurse Consultant LLC2 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.

• Divine Nurse Consultant LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1114567229
  NPD tax ID

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1932583879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 OAK POND RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307958",
            "telephone_number": "803-329-4494",
            "fax_number": "803-329-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 OAK POND RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307958",
            "telephone_number": "803-329-4494",
            "fax_number": "803-329-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE NURSE CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "AFAM",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-622-8530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC1361",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "SC",
            "license": "RC1361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NUMBER",
            "identifier": "RC1361",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE MANOR ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dignified Alternative Reliable Transportation
• Beverly Dill
• Deanna Dillard, LPC
• Diversified Care, LLC
• Divine Health Homecare LLC
• Divine Purpose Services Limited LLC
• Joy W Dixon, D.M.D.
• Julian Spencer Dixon IV, DMD
• Taylor Dixon
• Gwenshaunjala Dobey

• Assisted Living Facility in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.