DIVINE RESIDENTIAL CARE AGENCY, LLC
NPI 1457775744
Assisted Living Facility in Winona, MS

Q: What is Divine Residential Care Agency, LLC's NPI number?

The NPI number for Divine Residential Care Agency, LLC is 1457775744. It was assigned to this organization in the NPPES registry on February 7, 2014.

Q: What is Divine Residential Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 07, 2014

506 SPEEDWAY AVE, WINONA, MS 38967(901) 281-2747(662) 470-5771 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Divine Residential Care Agency, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE RESIDENTIAL CARE AGENCY, LLC (NPI 1457775744) is a healthcare organization registered as an assisted living facility in Winona, Mississippi and active in the NPI registry since February 2014. The organization lists Daphaine Moore Blakes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457775744

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameDIVINE RESIDENTIAL CARE AGENCY, LLC

Location Address506 SPEEDWAY AVEWinona, MS 38967-1816

Mailing Address7061 Foxhall DrHorn Lake, MS 38637-1269 · (901) 281-2747 · Fax (662) 470-5771

Phone(901) 281-2747

Fax(662) 470-5771

Organization SubpartNo

Authorized OfficialDaphaine Moore BlakesCeo · (901) 281-2747

Enumeration DateFebruary 7, 2014

✔ NPI 1457775744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

506 SPEEDWAY AVE, Winona, MS 38967

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Residential Care Agency, LLC's NPI number?

The NPI number for Divine Residential Care Agency, LLC is 1457775744. It was assigned to this organization in the NPPES registry on February 7, 2014.

Where is Divine Residential Care Agency, LLC located?

Divine Residential Care Agency, LLC is located at 506 Speedway Ave, Winona, MS 38967. The listed phone number is (901) 281-2747.

What is Divine Residential Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Divine Residential Care Agency, LLC was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.