Divine Koncepts, Inc

LBN: Divine Koncepts, Inc
Divine Koncepts, Inc is an health care organization with primary practice located at 1219 Rockingham Rd Suite 12, Rockingham NC 28379-4983. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Divine Koncepts, Inc can be contacted via phone (910) 417-4950, or through Capel, Brenda T via phone (910) 417-4950.

Contact Information

Primary practice address
1219 Rockingham Rd Suite 12 Rockingham NC 28379-4983
Fax: (910) 417-4953
Website:
Authorized official contact:
Name: Capel, Brenda T B.S./QP

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X RES/CAP/CIS North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-077-044 North Carolina

Profile Details

NPI number 1497857833
LBN Legal business name Divine Koncepts, Inc
DBA Doing business as
Authorized official Capel, Brenda T B.S./QP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Sep 5th, 2007 - about 17 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 1497857833 NPPES
North Carolina MEDICAID 7805610
North Carolina MEDICAID 3418060
North Carolina MEDICAID 8300948

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