Divine Innovation Services LLC
NPI 1578324141 · In Home Supportive Care Agency · Wake Forest, NC
Divine Innovation Services LLC is a In Home Supportive Care Agency organization in Wake Forest, NC (NPI 1578324141).
Provider details
- NPI number
- 1578324141
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracie Pearsall, Administrator(919) 675-8937
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Respite Care385H00000X
Respite Care Facility
- Child Mental Illness Respite Care385HR2055X
Respite Care Facility
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Divine Innovation Services
Additional practice locations (1)
- 12400 Wake Union Church Rd # 3-256Wake Forest, NC 27587-4509Phone: (919) 675-8937
Registry dates
- Enumerated
- 2024-01-19
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Frequently asked questions
- What is Divine Innovation Services LLC's NPI number?
- Divine Innovation Services LLC's National Provider Identifier (NPI) is 1578324141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Innovation Services LLC?
- Divine Innovation Services LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Divine Innovation Services LLC located?
- Divine Innovation Services LLC's practice location on file with NPPES is 120 Capcom Ave Ste 102b, Wake Forest, NC 27587-6537.
- What is Divine Innovation Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Innovation Services LLC is (919) 675-8937.
- Who is the authorized official for Divine Innovation Services LLC?
- The authorized official listed on Divine Innovation Services LLC's NPPES record is Tracie Pearsall, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Innovation Services LLC's NPI active?
- Yes — Divine Innovation Services LLC's NPI (1578324141) is active in the NPPES registry as of the last update on 2025-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.