1578324141 DIVINE INNOVATION SERVICES LLC

In Home Supportive Care Agency

Active

Basic Information

Organization Name
DIVINE INNOVATION SERVICES LLC
Enumeration Date
January 19, 2024
Last Update
April 29, 2025
Authorized Official
TRACIE LANAE PEARSALL
ADMINISTRATOR
Phone: (919) 675-8937

Practice Location

Address
120 CAPCOM AVE STE 102B
WAKE FOREST, NC 275876537
Phone
(919) 675-8937

Mailing Address

Address
12400 WAKE UNION CHURCH RD # 3-256
WAKE FOREST, NC 275874509
Phone
(919) 675-8937

Specialties & Taxonomies

Specialty Code Classification License State Primary
Home Health Agency
 251E00000X Home Health N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health N/A N/A No
Non-emergency Medical Transport (VAN)
 343900000X Non-emergency Medical Transport (VAN) N/A N/A No
Respite Care
 385H00000X Respite Care N/A N/A No
Child Mental Illness Respite Care
Respite Care, Mental Illness, Child
 385HR2055X Respite Care N/A N/A No
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care, Intellectual and/or Developmental Disabilities, Child
 385HR2060X Respite Care N/A N/A No
Child Physical Disabilities Respite Care
Respite Care, Physical Disabilities, Child
 385HR2065X Respite Care N/A N/A No
In Home Supportive Care Agency
 253Z00000X In Home Supportive Care N/A N/A Primary

Additional Practice Locations

12400 Wake Union Church Rd # 3-256
Wake Forest, NC 275874509

Phone: (919) 675-8937

Frequently Asked Questions

What is DIVINE INNOVATION SERVICES LLC's NPI number?
DIVINE INNOVATION SERVICES LLC's NPI number is 1578324141.
Which doctor has NPI number 1578324141?
The doctor with NPI number 1578324141 is DIVINE INNOVATION SERVICES LLC.
What is DIVINE INNOVATION SERVICES LLC's practice address?
DIVINE INNOVATION SERVICES LLC's practice address is 120 CAPCOM AVE STE 102B, WAKE FOREST, NC, 275876537.
Which doctor practices at 120 CAPCOM AVE STE 102B, WAKE FOREST, NC, 275876537?
DIVINE INNOVATION SERVICES LLC practices at 120 CAPCOM AVE STE 102B, WAKE FOREST, NC, 275876537.
What is DIVINE INNOVATION SERVICES LLC's mailing address?
DIVINE INNOVATION SERVICES LLC's mailing address is 12400 WAKE UNION CHURCH RD # 3-256, WAKE FOREST, NC, 275874509.
What is DIVINE INNOVATION SERVICES LLC's phone number?
DIVINE INNOVATION SERVICES LLC's phone number is (919) 675-8937.
Who is (919) 675-8937?
(919) 675-8937 is the phone number for DIVINE INNOVATION SERVICES LLC.
What is DIVINE INNOVATION SERVICES LLC's specialty?
DIVINE INNOVATION SERVICES LLC's specialty is In Home Supportive Care Agency.
What type of doctor is DIVINE INNOVATION SERVICES LLC?
DIVINE INNOVATION SERVICES LLC is a In Home Supportive Care Agency.
Is DIVINE INNOVATION SERVICES LLC a In Home Supportive Care?
Yes, DIVINE INNOVATION SERVICES LLC is a In Home Supportive Care.
Is DIVINE INNOVATION SERVICES LLC still practicing?
Yes, DIVINE INNOVATION SERVICES LLC is currently practicing.
Is DIVINE INNOVATION SERVICES LLC accepting new patients?
DIVINE INNOVATION SERVICES LLC may be accepting new patients. Please call their office at (919) 675-8937 to inquire about availability.
Is NPI 1578324141 still active?
Yes, NPI 1578324141 is currently active.
Where does DIVINE INNOVATION SERVICES LLC practice?
DIVINE INNOVATION SERVICES LLC practices in WAKE FOREST, NC.