MEDICARE: ABSOLUTELY DIVINE HOME CARE AGENCY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		NC
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency
4	332B00000X	Durable Medical Equipment & Medical Supplies	HC3037	NC
5	251E00000X	Home Health Agency	HC3037	NC
6	385H00000X	Respite Care
7	374U00000X	Home Health Aide	HC3037	NC
8	251J00000X	Nursing Care Agency	HC3037	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154420362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTELY DIVINE HOME CARE AGENCY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 35781
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-0781
Country	:	US
Telephone Number	:	910-485-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	7670 RAEFORD RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-5916
Country	:	US
Telephone Number	:	910-485-8463
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. DENISE JONES
Credential	:
Telephone Number	:	910-485-8463

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	06/08/2026

Similar Medicare Providers

1528823846 — OMNI RIDE LLC
Practice Location Address:

7670 RAEFORD RD
FAYETTEVILLE, NC
28304-5916

Practice Phone: 910-676-4832
Practice Fax:

1831726975 — KELLY BULLARD DO
Practice Location Address:

413 OWEN DR STE 201
FAYETTEVILLE, NC
28304-3490

Practice Phone: 910-323-9111
Practice Fax:

1104845528 — HARRY T AMEREDES M.D.
Practice Location Address:

3186 VILLAGE DR 201
FAYETTEVILLE, NC
28304-3979

Practice Phone: 910-486-5700
Practice Fax: 910-486-5950

1538777958 — EDWIN ALEJANDRO BURGOS ROSSY MD
Practice Location Address:

1638 OWEN DR
FAYETTEVILLE, NC
28304-3424

Practice Phone: 910-615-3500
Practice Fax:

1659205516 — TAYLOR NELSON BATTEN
Practice Location Address:

1516 BERRIEDALE DR
FAYETTEVILLE, NC
28304-5503

Practice Phone: 910-747-3235
Practice Fax:

1790423127 — ESTHER NWANNA ODEGHE
Practice Location Address:

1638 OWEN DR
FAYETTEVILLE, NC
28304-3424

Practice Phone: 910-615-4000
Practice Fax:

Directions to “ABSOLUTELY DIVINE HOME CARE AGENCY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.