Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Innovation Services LLC

Organization Home Health Agency · NPI 1578324141

Divine Innovation Services LLC is a Home Health Agency in Wake Forest, North Carolina. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Capcom Ave Ste 102B
Wake Forest, NC 27587-6537
Phone: (919) 675-8937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12400 Wake Union Church Rd # 3-256, Wake Forest, NC 27587-4509 — (919) 675-8937

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Respite Care Taxonomy 385H00000X
Child Mental Illness Respite Care Taxonomy 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Child Physical Disabilities Respite Care Taxonomy 385HR2065X

Record details

NPI number1578324141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracie Pearsall — Administrator · (919) 675-8937
Other names Divine Innovation Services
NPI enumeratedJanuary 19, 2024
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address12400 Wake Union Church Rd # 3-256, Wake Forest, NC 27587-4509

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