DIVINE HEALTHCARE CORPORATION (NPI# 1326150343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326150343 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTHCARE CORPORATION |
| Other Organization Name | DIVINE HEALTHCARE NETWORK |
| Practice Address |
856 University Ave W Saint Paul MN 55104-4807 |
| Practice Telephone | 6516659795 |
| Practice Fax Number | 6516659796 |
| Mailing Telephone | 6516659795 |
| Mailing Fax Number | 6516659796 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | ISAAC OBI (ADMINISTRATOR) |
| Authorized Official Telephone | 6516659795 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 205335700 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1326150343 | 05 | |
| MN | U CARE MINNESOTA | 181647 | 01 |
| MN | MEDICA | 5900021 | 01 |
| MN | HEALTH PARTNERS | 65531 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 1Z68UN | 01 |
| MN | MHP: MINNESOTA HEALTH PLA | 922134016 | 01 |
| MN | UCARE | 167251 | 01 |
| Other Name | Type Code |
|---|---|
| DIVINE HEALTHCARE NETWORK | Doing Business As Name - Organization |
| Street Address |
856 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039566 | Rebekah Marie Swanson | Registered Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2020-09-29 |
| 1306472956 | Roshelle Lynn Chavez | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2020-03-16 |
| 1750926929 | Ebangha Achale | Registered Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2019-11-12 |
| 1194294009 | Princess Zita Ifunanya Anigbogu | Registered Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-11-20 |
| 1174005144 | Devin Newton | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-09-05 |
| 1619456688 | Carmel Nicole Davis | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-08-10 |
| 1548747488 | Barbra Ann Mcfarland | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-07-24 |
| 1851886626 | Martin Mbu | Registered Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-06-25 |
| 1699267708 | Kristin Dahl | Registered Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-06-04 |
| 1417453473 | Terfa Bitew | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348381 | Sunshine Group Home LLC | Home Health | 125 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-28 |
| 1780202895 | Mohamed Ibrahim Hussen | Home Health | 2901 Mounds View Blvd Apt 114, Saint Paul, MN 55112-0009 | 2020-07-07 |
| 1457978355 | Sifu Health LLC | Home Health | 1821 University Ave W Ste 319, Saint Paul, MN 55104-4537 | 2020-06-26 |
| 1124641196 | Kindly Care Resident LLC | Home Health | 605 Whitall St, Saint Paul, MN 55130-4155 | 2020-05-25 |
| 1598388753 | Foursyght LLC | Home Health | 275 4th St E Ste 345, Saint Paul, MN 55101-1864 | 2020-05-22 |
| 1245851583 | Kare Home Health Inc | Home Health | 1881 Mechanic Ave Apt 215, Saint Paul, MN 55119-3328 | 2020-04-28 |
| 1548889348 | Happy Home Health Services, Inc. | Home Health | 393 Dunlap St N Ste 400h, Saint Paul, MN 55104-4235 | 2020-04-11 |
| 1891321485 | Reliacare Home Health Inc | Home Health | 883 Saint Anthony Ave, Saint Paul, MN 55104-4736 | 2020-03-16 |
| 1992337893 | Three Stars Group Homes LLC | Home Health | 630 Virginia St, Saint Paul, MN 55103-1757 | 2020-02-08 |
| 1700427291 | Reign Services LLC | Home Health | 8230 Long Lake Rd, Saint Paul, MN 55112-4622 | 2019-10-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.