Provider Demographics
NPI:1962711952
Name:DEVINE HOME CARE
Entity type:Organization
Organization Name:DEVINE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-990-6335
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:NEWTON GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28366-0103
Mailing Address - Country:US
Mailing Address - Phone:910-990-6335
Mailing Address - Fax:
Practice Address - Street 1:513 RALEIGH RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2405
Practice Address - Country:US
Practice Address - Phone:910-990-6335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care