NPIMap

Organization Active NPI

Divine Nurse Consultant LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1942849435
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE NURSE CONSULTANT LLC
Practice address
5633 Monroe Rd
Charlotte, NC 28212-5591
Phone
(980) 622-8530
NPI assigned
Dec 31, 2019
Organization subpart
Yes
Parent organization
DIVINE NURSE CONSULTANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Clifford Chuks Afam
Title
Director
Phone
(980) 622-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5633 Monroe Rd
Charlotte, NC 28212-5591

Mailing address

5633 Monroe Rd
Charlotte, NC 28212-5591
Phone (980) 622-8530

Other names 1

  • Divine Home Care Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Divine Nurse Consultant LLC2 organizations share this tax ID, including this one
Part of
Divine Nurse Consultant LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1942849435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125591",
            "telephone_number": "980-622-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125591",
            "telephone_number": "980-622-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE NURSE CONSULTANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE NURSE CONSULTANT LLC",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "AFAM",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "CHUKS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-622-8530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5633 Monroe Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282125591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Divine Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.