Organization Active NPI

Lakeisha Harris, LLC

Doing business as Divine Home Health Care Services, LLC

  • Home Health Agency
  • Rocky Mount, NC
National Provider Identifier
1972107670
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKEISHA HARRIS, LLC
Doing business as
Divine Home Health Care Services, LLC
Practice address
619 North Church Street
Rocky Mount, NC 27804
Phone
(252) 702-0132
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Lakeisha Harris
Title
Agency Director/Owner
Phone
(252) 702-0132

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Hearing and Speech Clinic/Center 261QH0700X
Adult Care Home Facility 311ZA0620X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X
Respite Care 385H00000X

Addresses

Primary practice location

619 North Church Street
Rocky Mount, NC 27804

Mailing address

809 Hilma Circle
Tarboro, NC 27886

Other names 1

  • Divine Home Health Care Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

619 N Church St
Rocky Mount, NC 27804
Phone (252) 702-0132

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1972107670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 HILMA CIRCLE",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 NORTH CHURCH STREET",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-702-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEISHA HARRIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR/OWNER",
        "authorized_official_telephone_number": "252-702-0132"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Home Health Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.