DIVINE INTERVENTION HOME CARE (NPI# 1023649209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023649209 |
| Entity Type | Organization |
| Organization Name | DIVINE INTERVENTION HOME CARE |
| Practice Address |
717 Green Valley Rd Ste 205 Greensboro NC 27408-2155 |
| Mailing Address |
2155 Wow Rd Randleman NC 27317-7951 |
| Practice Telephone | 3366537916 |
| Mailing Telephone | 3366537916 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | TRALVIS SHAW (CEO) |
| Authorized Official Telephone | 3366537916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
717 GREEN VALLEY RD STE 205 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223358 | A Johnson Sparkle LLC | In Home Supportive Care | 2305 Cottage Pl, Greensboro, NC 27455-2910 | 2020-07-23 |
| 1659980977 | R&l Dedicated Home Care LLC | In Home Supportive Care | 3987 Orchard Knoll Dr, Greensboro, NC 27405-8507 | 2020-07-23 |
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1013544782 | Williams Family Veteran Care Society | In Home Supportive Care | 3902 Woodberry Lake Dr, Greensboro, NC 27455-0944 | 2020-03-24 |
| 1699337105 | Rescuing Hands Home Care | In Home Supportive Care | 907 Shelby Dr Apt F, Greensboro, NC 27409-2240 | 2019-07-03 |
| 1295298636 | Amber J Cohen | In Home Supportive Care | 17 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2019-04-11 |
| 1710484126 | Southeast Home Care, LLC | In Home Supportive Care | 437 W Friendly Ave Ste 111, Greensboro, NC 27401-2234 | 2018-04-11 |
| 1700387297 | Intellichoice Staffing LLC | In Home Supportive Care | 5 Dundas Cir Ste F, Greensboro, NC 27407-1638 | 2018-02-21 |
| 1265930523 | Peace Zone Home Care, Inc | In Home Supportive Care | 4925 W Market St Ste 1113, Greensboro, NC 27407-1566 | 2018-01-31 |
| 1922494426 | Reliance Health Source LLC | In Home Supportive Care | 2 Terrace Way Ste D, Box #10, Greensboro, NC 27403-3663 | 2015-04-10 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
Please comment or provide details below to improve the information on DIVINE INTERVENTION HOME CARE.
| 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.