DIVINE HEALTHCARE, INC. (NPI# 1003993197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003993197 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE, INC. |
| Practice Address |
1001 Navaho Dr Suite 203-b Raleigh NC 27609-7335 |
| Practice Telephone | 9198818041 |
| Practice Fax Number | 9198818316 |
| Mailing Telephone | 9198818041 |
| Mailing Fax Number | 9198818316 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | MARTIN OSAGIE (AGENCY DIRECTOR) |
| Authorized Official Telephone | 9198818041 |
| Authorized Official Credential | PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC-3018 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 340-8383 | 05 | |
| NC | 660-1281 | 05 |
| Street Address |
1001 NAVAHO DR SUITE 203-B |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914283 | Rejoice Mashangeni | Nurse Practitioner | 1001 Navaho Dr, Raleigh, NC 27609-7335 | 2017-10-26 |
| 1881002566 | Ijeoma Eugenia Nwaeze | Nurse Practitioner | 1001 Navaho Dr, Suite 101, Raleigh, NC 27609-7335 | 2014-07-26 |
| 1093122434 | Shante Spencer | Counselor | 1001 Navaho Dr, Raleigh, NC 27609-7335 | 2014-07-17 |
| 1134546740 | Aa&d Transportation Inc | Non-emergency Medical Transport (VAN) | 1001 Navaho Dr, Suite Gl150, Raleigh, NC 27609-7335 | 2014-03-20 |
| 1669809620 | Dana Shea Wilkins | Counselor | 1001 Navaho Dr, Suite 101, Raleigh, NC 27609-7335 | 2013-10-03 |
| 1881034320 | Linda Lee Brumsey-moore | Social Worker | 1001 Navaho Dr, Suite 101, Raleigh, NC 27609-7335 | 2013-06-28 |
| 1275871261 | Aa & D Transportation | Non-emergency Medical Transport (VAN) | 1001 Navaho Dr, Gl-150, Raleigh, NC 27609-7335 | 2013-01-25 |
| 1992008627 | Healthcore Resource, Inc. | Case Management | 1001 Navaho Dr, Suite 210, Raleigh, NC 27609-7335 | 2010-12-20 |
| 1396048112 | Healthcore Resource, Inc | Community/Behavioral Health | 1001 Navaho Dr, Suite 101, Raleigh, NC 27609-7335 | 2010-12-16 |
| 1003117011 | Kimberly G. Kueny | Social Worker | 1001 Navaho Dr, Suite 210, Raleigh, NC 27609-7335 | 2010-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
| 1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
| 1336756964 | All Star Home Health Care Inc | Home Health | 2609 Atlantic Ave Ste 101a, Raleigh, NC 27604-1550 | 2020-09-28 |
| 1306450895 | Angels By Surprise LLC | Home Health | 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 | 2020-09-02 |
| 1740890128 | Mother Deborah Home Health Services Inc | Home Health | 2421 Timber Dr Ste 207, Raleigh, NC 27604-2265 | 2020-07-31 |
| 1679199160 | Dependable Home Care Service | Home Health | 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 | 2020-06-19 |
| 1972126282 | Twins Loving Care Services, LLC | Home Health | 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 | 2020-05-20 |
| 1669094413 | Stalwart Home Health LLC | Home Health | 814 Rock Quarry Rd, Raleigh, NC 27610-5000 | 2020-05-15 |
| 1053933010 | Allied Medical Care, LLC | Home Health | 2421 Timber Dr, Raleigh, NC 27604-2248 | 2020-05-13 |
| 1275155160 | All-shift Home Health Agency LLC | Home Health | 3316 Rock Quarry Rd, Raleigh, NC 27610-5114 | 2020-05-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.