DIVINE CARE HOME
NPI 1427807734
Custodial Care Facility - Adult Care Home in Kings Mountain, NC

Active since May 17, 2024
429 CROCKER RD, KINGS MOUNTAIN, NC 28086(239) 350-8201(704) 734-5967 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Care Home NPPES

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

DIVINE CARE HOME (NPI 1427807734) is a healthcare organization registered as an adult care home in Kings Mountain, North Carolina and active in the NPI registry since May 2024. The organization lists Willanda Cerisiers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427807734
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameDIVINE CARE HOME
Location Address429 CROCKER RDKings Mountain, NC 28086-4004
Mailing Address429 Crocker RdKings Mountain, NC 28086-4004 · (239) 350-8201
Fax(704) 734-5967
Organization SubpartNo
Authorized OfficialWillanda CerisiersAdministrator · (239) 350-8201
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
NPI 1427807734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
429 CROCKER RD, Kings Mountain, NC 28086

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
429 CROCKER RD
KINGS MOUNTAIN, NC 28086
Assisted Living Facility
429 CROCKER RD
KINGS MOUNTAIN, NC 28086

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 Care Home's NPI number?

The NPI number for Divine Care Home is 1427807734. It was assigned to this organization in the NPPES registry on May 17, 2024.

Where is Divine Care Home located?

Divine Care Home is located at 429 Crocker Rd, Kings Mountain, NC 28086. The listed phone number is (239) 350-8201.

What is Divine Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Divine Care Home was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.