DIVINE MANOR ASSISTED LIVING
NPI 1932583879
Assisted Living Facility in Rock Hill, SC

Active since July 09, 2015CLIA 42D1093309 · Waiver
2210 OAK POND RD, ROCK HILL, SC 29730(803) 329-4494(803) 329-5902 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Manor Assisted Living NPPES

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

DIVINE MANOR ASSISTED LIVING (NPI 1932583879) is a healthcare organization registered as an assisted living facility in Rock Hill, South Carolina and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Clifford C Afam, Director, as its authorized official.

NPPES Registry Identity

NPI1932583879
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIVINE NURSE CONSULTANT
Location Address2210 OAK POND RDRock Hill, SC 29730-7958
Mailing Address2210 Oak Pond RdRock Hill, SC 29730-7958 · (803) 329-4494 · Fax (803) 329-5902
Fax(803) 329-5902
Organization SubpartNo
Authorized OfficialClifford C AfamDirector · (980) 622-8530
Enumeration DateJuly 9, 2015
Last NPPES UpdateJanuary 3, 2020
NPI 1932583879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in SC · RC1361
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X · License RC1361 (SC)
2210 OAK POND RD, Rock Hill, SC 29730

Other Names 1

Doing Business AsDivine Manor Assisted Living

Other Identifiers 1

OtherRC1361SC · Facility Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1093309

Divine Manor Assisted Living Center · Rock Hill, SC
Active · expires Dec 15, 2026
CLIA Number42D1093309
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorClifford C. Afam
Laboratory Phone(803) 329-4494
Laboratory LocationDivine Manor Assisted Living Center2210 Oak Pond Rd, Rock Hill, SC 29730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nurse Consultant's NPI number?

The NPI number for Divine Nurse Consultant is 1932583879. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is doing business as Divine Manor Assisted Living.

Where is Divine Nurse Consultant located?

Divine Nurse Consultant is located at 2210 Oak Pond Rd, Rock Hill, SC 29730. The listed phone number is (803) 329-4494.

What is Divine Nurse Consultant's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Divine Nurse Consultant hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1093309) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Nurse Consultant was last updated on January 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.