DIVINE HOME CARE AGENCY LLC
NPI 1588487789
In Home Supportive Care in Fayetteville, NC

Active since November 05, 2024
4244 CUMBERLAND RD, FAYETTEVILLE, NC 28306(910) 491-1002 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 6, 2025, Nov 5, 2024 (2 updates tracked since 2024).

About Divine Home Care Agency Llc NPPES

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

DIVINE HOME CARE AGENCY LLC (NPI 1588487789) is a healthcare organization registered as an in home supportive care in Fayetteville, North Carolina and active in the NPI registry since November 2024. The organization lists Tamiko L Matthews, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1588487789
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameDIVINE HOME CARE AGENCY LLC
Location Address4244 CUMBERLAND RDFayetteville, NC 28306-2697
Mailing Address1610 Shively CtFayetteville, NC 28304-4034 · (910) 670-5458
Organization SubpartNo
Authorized OfficialTamiko L MatthewsCheif Executive Officer · (910) 670-5458
Enumeration DateNovember 5, 2024
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1588487789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4244 CUMBERLAND RD, Fayetteville, NC 28306

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 Home Care Agency LLC's NPI number?

The NPI number for Divine Home Care Agency LLC is 1588487789. It was assigned to this organization in the NPPES registry on November 5, 2024.

Where is Divine Home Care Agency LLC located?

Divine Home Care Agency LLC is located at 4244 Cumberland Rd, Fayetteville, NC 28306. The listed phone number is (910) 491-1002.

What is Divine Home Care Agency 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 Home Care Agency LLC was last updated on June 6, 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.