Divine Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2882 Issued in NC

Legal business name

DIVINE HOME CARE, LLC

Practice address

751 S Main St
Suite B
Raeford, NC 28376-3238

Phone

(910) 904-2377

Fax

(910) 904-2477

NPI assigned

Mar 27, 2007

Organization subpart

Yes

Parent organization

DIVINE HOME CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Florine L Fleming, RN

Title

Owner, Service Director

Phone

(910) 904-2377

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Divine Home Care LLC

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.

• Divine Care Home

  • Adult Care Home Facility
  • Kings Mountain, NC
  • NPI 1427807734
  NPPES parent name

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1962520635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S MAIN ST",
            "address_2": "SUITE B",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763238",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S MAIN ST",
            "address_2": "SUITE B",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763238",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HOME CARE, LLC",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, SERVICE DIRECTOR",
        "authorized_official_telephone_number": "910-904-2377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvonia Dehaven Dickey, LCAS-A
• Ma-K'Lee Diggs
• Diversified Living Home Care Agency Inc.
• Divine DME Services
• Divine Home Care Inc
• Divine Medical Supplies Inc
• Jada Dixon
• Diyah'S Home Inc
• Trang Thi Doan
• Dennis Dolgan, MD

• Home Health Agency in Raeford, NC
• Providers in Raeford, 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 May 6, 2009; 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.