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

Divine Supportive Homes Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1447776430

Divine Supportive Homes Inc is a Mental Illness Community Based Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3905 Marsh Creek Rd
Raleigh, NC 27604-4108
Phone: (191) 791-9032
Fax: (919) 791-9032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL-092-539 (NC)

Record details

NPI number1447776430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Ikejiaku — Manager · (919) 791-9032
NPI enumeratedAugust 21, 2017
Last updated in NPPESAugust 21, 2017
Mailing address549 Irina Dr, Rolesville, NC 27571-9338

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