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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYVINE CARE, LLC
NPI 1255053864
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mt Holly, NC

Active since September 12, 2022
5305 CLEARWATER LAKE RD, MT HOLLY, NC 28120(646) 309-2785 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Oct 31, 2023, Sep 12, 2022 (3 updates tracked since 2022).

About Dyvine Care, Llc NPPES

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

DYVINE CARE, LLC (NPI 1255053864) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mt Holly, North Carolina and active in the NPI registry since September 2022. The organization lists David Young, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1255053864
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDYVINE CARE, LLC
Location Address5305 CLEARWATER LAKE RDMt Holly, NC 28120-1445
Mailing Address5305 Clearwater Lake RdMt Holly, NC 28120-1445 · (646) 309-2785
Phone(646) 309-2785
Organization SubpartNo
Authorized OfficialDavid YoungCeo/president · (646) 309-2785
Enumeration DateSeptember 12, 2022
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1255053864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5305 CLEARWATER LAKE RD, Mt Holly, NC 28120
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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 Dyvine Care, LLC's NPI number?

The NPI number for Dyvine Care, LLC is 1255053864. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Dyvine Care, LLC located?

Dyvine Care, LLC is located at 5305 Clearwater Lake Rd, Mt Holly, NC 28120. The listed phone number is (646) 309-2785.

What is Dyvine Care, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Dyvine Care, LLC was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.