DIVINE CARE SERVICES – NPI #1619784576
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

DIVINE CARE SERVICES is a community based residential treatment facility located in BROOKLYN PARK, MN. NPPES has assigned the NPI number 1619784576 to DIVINE CARE SERVICES on December 14, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE CARE SERVICES below.

NPI Profile for
DIVINE CARE SERVICES

NPI Number
1619784576
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINE CARE SERVICES
Other name(s)
All associated names:
Doing Business As (dba)
Divine Care Services
Doing Business As (dba)
N/A
Primary location
6001 70TH AVE N
BROOKLYN PARK, MN 55429-1001
Phone: (712) 501-0363 Fax:
Mailing address
1120 52ND AVE NE
FRIDLEY, MN 55421-1876
Phone: (710) 210-0363 Fax:
Organization Subpart
No
Authorized Official
T-MAX BARLUE
CEO
Phone: (712) 501-0363
Updated
Certification Date
Dec 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.