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DIVINE KONCEPTS, INC
NPI 1205093440
Community Based Residential Treatment Facility, Mental Illness in Stony Point, NC

Active since May 16, 2008
129 PLANK BARN LN, STONY POINT, NC 28678(704) 942-8410 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Divine Koncepts, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE KONCEPTS, INC (NPI 1205093440) is a healthcare organization registered as a community based residential treatment facility, mental illness in Stony Point, North Carolina and active in the NPI registry since May 2008. The organization maintains a secondary practice location in Concord and lists T Shawn Gibbs, Director, as its authorized official.

NPPES Registry Identity

NPI1205093440
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDIVINE KONCEPTS, INC
Location Address129 PLANK BARN LNStony Point, NC 28678-9217
Mailing Address451 Faith Dr SwConcord, NC 28027-6929 · (704) 942-8410
Phone(704) 942-8410
Organization SubpartYesParent: Divine Koncepts
Authorized OfficialT Shawn GibbsDirector · (704) 942-8410
Enumeration DateMay 16, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1205093440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Licenses✔ Licensed in NC · 049-143✔ Licensed in NC · 013-033
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
129 PLANK BARN LN, Stony Point, NC 28678
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Secondary Practice Location 1

Location 1451 Faith Dr SWConcord, NC 28027-6929 · Phone (704) 942-8410

Other Identifiers 2

Medicaid6603600NC
Medicaid6603599NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Koncepts, Inc's NPI number?

The NPI number for Divine Koncepts, Inc is 1205093440. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Divine Koncepts, Inc located?

Divine Koncepts, Inc is located at 129 Plank Barn Ln, Stony Point, NC 28678. The listed phone number is (704) 942-8410.

What is Divine Koncepts, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Divine Koncepts, Inc was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.