DIVINE HOUSE II INC.
NPI 1528665056
Intermediate Care Facility, Intellectual Disabilities in Willmar, MN
NPI Status: Active since October 07, 2020
Contact Information
1508 15TH ST SW
WILLMAR, MN
ZIP 56201
Phone: (320) 231-2738
Fax: (320) 441-2106
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 24D2032782
- CLIA Cert. Type: Other - FOSTER CARE PROVIDER
- CLIA Exp. Date: 11-14-2025
About DIVINE HOUSE II INC.
This page provides the complete NPI Profile along with additional information for Divine House Ii Inc., a provider established in Willmar, Minnesota operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1528665056 assigned on October 2020. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Debra J Shriver (Owner/ceo)
- NPI
- 1528665056
- Provider Name
- DIVINE HOUSE II INC.
- Entity Type
- Organization
- Location Address
- 1508 15TH ST SW WILLMAR, MN 56201
- Location Phone
- (320) 231-2738
- Location Fax
- (320) 441-2106
- Mailing Address
- 328 5TH ST SW STE 5 WILLMAR, MN 56201
- Mailing Phone
- (320) 231-2738
- Mailing Fax
- (320) 441-2106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2020
- Last Update Date
- 10-07-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2032782
- Facility Type
- Other - FOSTER CARE PROVIDER
- Certificate Effective Date
- November 15, 2023
- Certificate Expiration Date
- November 14, 2025
- Laboratory Director
- DEBRA J. SHRIVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Divine House Ii Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 6 | 6 | 5 | 0 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 12 | 6 | 10 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 2 + 6 + 1 + 0 + 0 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1528665056 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528665056, enumerated as an "organization" on October 07, 2020.
The provider is located at 1508 15TH ST SW WILLMAR, MN 56201 and the phone number is (320) 231-2738.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
