ABSOLUTELY DIVINE HOME CARE AGENCY INC. NPI 1154420362

NPI Information

NPI: 1154420362
Provider Name: ABSOLUTELY DIVINE HOME CARE AGENCY, INC.

Other Name: TRULY DIVINE, INC.

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3530 BOONE TAIL
FAYETTEVILLE, NC
ZIP 28306
Phone: (910) 485-8463
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ABSOLUTELY DIVINE HOME CARE AGENCY, INC. is a nursing care in Fayetteville, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ABSOLUTELY DIVINE HOME CARE AGENCY, INC. NPI is 1154420362. The provider is registered as an organization entity type.
The provider Other Name Is Truly Divine, Inc..

The provider's business location address is:

3530 BOONE TAIL
FAYETTEVILLE, NC
ZIP 28306-830
Phone: (910) 485-8463

The provider's authorized official is Denise Jones .
The authorized official title is President/ceo and has the following contact phone number (910) 485-8463.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251B00000X	Case Management			No
2	253Z00000X	In Home Supportive Care			No
3	251E00000X	Home Health	HC3037	NORTH CAROLINA	No
4	251S00000X	Community/Behavioral Health		NORTH CAROLINA	No
5	332B00000X	Durable Medical Equipment & Medical Supplies	HC3037	NORTH CAROLINA	No
6	374U00000X	Home Health Aide	HC3037	NORTH CAROLINA	No
7	251J00000X	Nursing Care	HC3037	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3408515	MEDICAID	NORTH CAROLINA
2	6601297	MEDICAID	NORTH CAROLINA
3	7100631	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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