DIVINE INNOVATION SERVICES LLC
NPI 1578324141
In Home Supportive Care in Wake Forest, NC

Q: What is Divine Innovation Services LLC's NPI number?

The NPI number for Divine Innovation Services LLC is 1578324141. It was assigned to this organization in the NPPES registry on January 19, 2024. The provider is doing business as Divine Innovation Services.

Q: What is Divine Innovation Services LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since January 19, 2024

120 CAPCOM AVE STE 102B, WAKE FOREST, NC 27587(919) 675-8937 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2025, Jun 20, 2024 (2 updates tracked since 2024).

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About Divine Innovation Services Llc NPPES

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

DIVINE INNOVATION SERVICES LLC (NPI 1578324141), doing business as Divine Innovation Services, is a healthcare organization registered as an in home supportive care in Wake Forest, North Carolina and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Wake Forest and lists Tracie Lanae Pearsall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578324141

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameDIVINE INNOVATION SERVICES LLC

Location Address120 CAPCOM AVE STE 102BWake Forest, NC 27587-6537

Mailing Address12400 Wake Union Church Rd # 3-256Wake Forest, NC 27587-4509 · (919) 675-8937

Phone(919) 675-8937

Organization SubpartNo

Authorized OfficialTracie Lanae PearsallAdministrator · (919) 675-8937

Enumeration DateJanuary 19, 2024

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1578324141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

Also ListedRespite CareTaxonomy 385H00000X

Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X

120 CAPCOM AVE STE 102B, Wake Forest, NC 27587

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Other Names 1

Doing Business AsDivine Innovation Services

Secondary Practice Location 1

Location 112400 Wake Union Church Rd # 3-256Wake Forest, NC 27587-4509 · Phone (919) 675-8937

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 Innovation Services LLC's NPI number?

The NPI number for Divine Innovation Services LLC is 1578324141. It was assigned to this organization in the NPPES registry on January 19, 2024. The provider is doing business as Divine Innovation Services.

Where is Divine Innovation Services LLC located?

Divine Innovation Services LLC is located at 120 Capcom Ave Ste 102B, Wake Forest, NC 27587. The listed phone number is (919) 675-8937.

What is Divine Innovation Services LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Divine Innovation Services LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.