DIVINITY PERSONAL CARE, LLC (NPI# 1760841027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760841027 |
| Entity Type | Organization |
| Organization Name | DIVINITY PERSONAL CARE, LLC |
| Practice Address |
112 Lochaven Dr Apt 207 Charleston SC 29414-5978 |
| Practice Telephone | 8432774502 |
| Mailing Telephone | 8432774502 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | MR. SHAWN GATHERS (MANAGER) |
| Authorized Official Telephone | 8432774502 |
| Authorized Official Credential | MS, MHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
112 LOCHAVEN DR APT 207 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326574765 | Contrelle Reid | Pharmacist | 112 Lochaven Dr, Charleston, SC 29414-5978 | 2017-05-04 |
| 1942753587 | Shawn Gathers | Case Management | 112 Lochaven Dr, 207, Charleston, SC 29414-5978 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1821605510 | Salina Laqueesta Jones | In Home Supportive Care | 1344 Freer St, Charleston, SC 29412-8123 | 2020-09-26 |
| 1972147254 | Palmetto Care Services of S.c. | In Home Supportive Care | 1335 Ronald Ln, Charleston, SC 29412-8227 | 2019-10-30 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1376003723 | Jenkins Home Care LLC | In Home Supportive Care | 2178 Savannah Hwy Ste B-8, Charleston, SC 29414-5311 | 2019-03-21 |
| 1417412354 | Peyatte Inc | In Home Supportive Care | 5324 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2200 | 2019-02-05 |
| 1194186585 | Stonerise Integrity Care LLC | In Home Supportive Care | 700 Chappell Rd, Charleston, WV 25304-2704 | 2016-03-11 |
| 1033580998 | Murco Eldercare, LLC | In Home Supportive Care | 1590 W Robinhood Dr, Charleston, SC 29407-5827 | 2015-10-16 |
| 1215322250 | Already Homecare, LLC | In Home Supportive Care | 1180 Sam Rittenberg Blvd Ste 240, Charleston, SC 29407-3388 | 2015-04-06 |
| 1104240951 | Charleston Home Health Care LLC | In Home Supportive Care | 658 Rutledge Ave, Second Floor, Charleston, SC 29403-4147 | 2014-02-14 |
| 1831528793 | Right Start, LLC | In Home Supportive Care | 1296 Quail Pointe, Charleston, WV 25302 | 2013-11-01 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.