DIVINE FAMILY CARE HOME (NPI# 1639351703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639351703 |
| Entity Type | Organization |
| Organization Name | DIVINE FAMILY CARE HOME |
| Practice Address |
113 Justice St Louisburg NC 27549-2331 |
| Practice Telephone | 9198532700 |
| Practice Fax Number | 9198537527 |
| Mailing Telephone | 9198532700 |
| Mailing Fax Number | 9198537527 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | MR. CHRIS O ISIJOLA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9198804619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 035019 | NC | Nursing & Custodial Care Facilities |
| Street Address |
113 JUSTICE ST |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114242906 | Oreze Medical Investors, LLC | Assisted Living Facility | 844 Nc 39 Hwy S, Louisburg, NC 27549-7114 | 2010-04-05 |
| 1881819050 | Zollieville Rest Home No2 Inc | Assisted Living Facility | 1437 East River Rd, Louisburg, NC 27549-8584 | 2007-04-14 |
| 1023172178 | Carolyn Newell | Assisted Living Facility | 90 E.f. Cottrell Rd, Louisburg, NC 27549-8664 | 2006-12-21 |
| 1871653733 | Carebridge Assisted Living | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2006-12-11 |
| 1588629448 | Vintage Park At Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2006-04-20 |
| 1578118089 | Liberty Healthcare Group, LLC | Assisted Living Facility | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2019-08-02 |
| 1992214084 | Southern Living for Seniors of Louisburg Nc | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2017-09-21 |
| 1891169009 | Cpf Senior Living - Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2015-11-25 |
| 1942622154 | Unity Medical Group, Inc. | Assisted Living Facility | 844 Nc Highway 39 S, Louisburg, NC 27549-7114 | 2014-01-08 |
| 1619241833 | Autumn Wind, Inc. | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2012-03-06 |
| Find all providers in LOUISBURG | ||||
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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.