DIVINE KONCEPTS, INC (NPI# 1497857833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497857833 |
| Entity Type | Organization |
| Organization Name | DIVINE KONCEPTS, INC |
| Practice Address |
1219 Rockingham Rd Suite 12 Rockingham NC 28379-4983 |
| Mailing Address |
Po Box 462 Ellerbe NC 28338-0462 |
| Practice Telephone | 9104174950 |
| Practice Fax Number | 9104174953 |
| Mailing Telephone | 9104174950 |
| Mailing Fax Number | 9104174953 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | MRS. BRENDA T CAPEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9104174950 |
| Authorized Official Credential | B.S./QP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-077-044 | NC | Residential Treatment Facilities |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | RES/CAP/CIS | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418060 | 05 | |
| NC | 8300948 | 05 | |
| NC | 7805610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205093440 | Divine Koncepts, Inc | Community Based Residential Treatment Facility, Mental Illness | 129 Plank Barn Ln, Stony Point, NC 28678-9217 | 2008-05-16 |
| 1376710087 | Divine Koncepts, Inc | Community Based Residential Treatment Facility, Mental Illness | 451 Faith Dr Sw, Concord, NC 28027-6929 | 2008-05-12 |
| Street Address |
1219 ROCKINGHAM RD SUITE 12 |
| City | ROCKINGHAM |
| State | NC |
| Zip Code | 28379-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043329691 | Patrick Eyaye Egbe | Pediatrics | 1219 Rockingham Rd, Suite 7, Rockingham, NC 28379-4925 | 2006-08-29 |
| 1609218577 | Foundation of Life Services | Community/Behavioral Health | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2013-07-21 |
| 1700187242 | Esteem Family Life Center LLC | Case Management | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2010-11-16 |
| 1124347984 | Shamsul Alam Khan | Pediatrics | 1219 Rockingham Rd, Suite#3, Rockingham, NC 28379-4983 | 2010-05-19 |
| 1629301122 | Education 1st Academy LLC | Community/Behavioral Health | 1219 Rockingham Rd, Ste 6, Rockingham, NC 28379-4983 | 2009-09-15 |
| 1538399456 | Keisha Renee Mcmillan | Psychologist | 1219 Rockingham Rd, Suite 12, Rockingham, NC 28379-4983 | 2009-07-27 |
| 1043453061 | Gerard A. Catapano | Family Medicine | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2009-04-07 |
| 1891947560 | Esteem Family Life Center LLC | Community/Behavioral Health | 1219 Rockingham Rd, Suite 10, Rockingham, NC 28379-4925 | 2008-10-14 |
| 1770766735 | Southeastern Health Care Services, LLC | Nursing Care | 1219 Rockingham Rd, Suite 1, Rockingham, NC 28379-4983 | 2007-12-13 |
| 1205960291 | Towergate Youth and Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
| 1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| Find all providers in zip 28379 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790003424 | Haywood Haven LLC | Day Training, Developmentally Disabled Services | 515 E Broad Ave Ste D, Rockingham, NC 28379-5702 | 2010-05-05 |
| 1285933937 | Sandhills Alternative Academy, LLC | Day Training, Developmentally Disabled Services | 503 Rockingham Rd, Rockingham, NC 28379-3615 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | ROCKINGHAM |
| Zip Code | 28379 |
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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.