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DIVINE SUPPORTBEDGE HEALTHCARE SERVICES.
NPI 1962809152
Community/Behavioral Health in Durham, NC

Active since December 03, 2014
3700 LYCKAN PKWY STE A, DURHAM, NC 27707(919) 401-6655 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2018, Sep 1, 2016, Nov 9, 2015 (3 updates tracked since 2015).

About Divine Supportbedge Healthcare Services. NPPES

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

DIVINE SUPPORTBEDGE HEALTHCARE SERVICES. (NPI 1962809152) is a healthcare organization registered as a community/behavioral health in Durham, North Carolina and active in the NPI registry since December 2014. The organization lists Olayide Olaniyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962809152
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePETER-ELST LLC
Location Address3700 LYCKAN PKWY STE ADurham, NC 27707-2587
Mailing Address3700 Lyckan Pkwy, Suite ADurham, NC 27707-2577 · (919) 401-6655
Phone(919) 401-6655
Organization SubpartNo
Authorized OfficialOlayide OlaniyanCeo · (919) 401-6655
Enumeration DateDecember 3, 2014
Last NPPES UpdateMarch 8, 20183 updates tracked since enumeration
✔ NPI 1962809152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3700 LYCKAN PKWY STE A, Durham, NC 27707
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Other Names 1

Doing Business AsDivine Supportbedge Healthcare Services.

Other Identifiers 1

Medicaid3418993NC

Other Providers at the Same Location NPPES

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

PETER-ELST LLC
In Home Supportive Care
3700 LYCKAN PKWY STE A
DURHAM, NC 27707
Durham County (919) 401-6655

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 Peter-Elst LLC's NPI number?

The NPI number for Peter-Elst LLC is 1962809152. It was assigned to this organization in the NPPES registry on December 3, 2014. The provider is doing business as Divine Supportbedge Healthcare Services..

Where is Peter-Elst LLC located?

Peter-Elst LLC is located at 3700 Lyckan Pkwy Ste A, Durham, NC 27707. The listed phone number is (919) 401-6655.

What is Peter-Elst LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Peter-Elst LLC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.