Healthcare Provider Details

I. General information

NPI: 1801723176
Provider Name (Legal Business Name): DIVINELY GUIDED HOME AND PRIVATE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 LADY ST OFC 210
COLUMBIA SC
29201-3488
US

IV. Provider business mailing address

1122 LADY ST OFC 210
COLUMBIA SC
29201-3488
US

V. Phone/Fax

Practice location:
  • Phone: 803-470-5481
  • Fax:
Mailing address:
  • Phone: 803-470-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. GLORIA DEAN ROBINSON
Title or Position: OWNER
Credential:
Phone: 803-977-2180