Healthcare Provider Details

I. General information

NPI: 1750201273
Provider Name (Legal Business Name): DEVINE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 VANCE ST # A
CLINTON NC
28328-4001
US

IV. Provider business mailing address

411 VANCE ST
CLINTON NC
28328-4001
US

V. Phone/Fax

Practice location:
  • Phone: 910-990-6335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: JANET DEVONE
Title or Position: OWNER
Credential:
Phone: 910-990-6335