Divine Koncepts, Inc

LBN: Divine Koncepts, Inc
Divine Koncepts, Inc is an health care organization with primary practice located at 129 Plank Barn Ln , Stony Point NC 28678-9217. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Divine Koncepts, Inc can be contacted via phone (704) 942-8410, or through Gibbs, T Shawn via phone (704) 942-8410.

Contact Information

Primary practice address
129 Plank Barn Ln Stony Point NC 28678-9217
Phone: (704) 942-8410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, T Shawn
Phone: (704) 942-8410

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 013-033 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 049-143 North Carolina

Profile Details

NPI number 1205093440
LBN Legal business name Divine Koncepts, Inc
DBA Doing business as
Authorized official Gibbs, T Shawn
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2008
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205093440 NPPES
North Carolina MEDICAID 6603600
North Carolina MEDICAID 6603599

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