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DIVINE CARE LLC
NPI 1548586191
Home Health in Lakeville, MN

Active since April 07, 2010CLIA 24D2131052 · Waiver
16125 HYLAND AVE, LAKEVILLE, MN 55044(612) 423-9765(952) 236-9202 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Care Llc NPPES

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

DIVINE CARE LLC (NPI 1548586191) is a healthcare organization registered as a home health in Lakeville, Minnesota and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Fentezia Zewdie, Owner, as its authorized official.

NPPES Registry Identity

NPI1548586191
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVINE CARE LLC
Location Address16125 HYLAND AVELakeville, MN 55044-8883
Mailing Address16125 Hyland AveLakeville, MN 55044-8883 · (612) 423-9765 · Fax (952) 236-9202
Phone(612) 423-9765
Fax(952) 236-9202
Organization SubpartNo
Authorized OfficialFentezia ZewdieOwner · (612) 423-9765
Enumeration DateApril 7, 2010
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1548586191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 376844
Definition
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.
Also ListedNursing CareTaxonomy 251J00000X · License 376844 (MN)
16125 HYLAND AVE, Lakeville, MN 55044
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2131052

Divine Care LLC · Lakeville, MN
Active · expires May 21, 2027
CLIA Number24D2131052
Laboratory TypeHome Health Agency
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorFentezia Zewdie
Laboratory Phone(612) 423-9765
Laboratory LocationDivine Care LLC16125 Hyland Ave, Lakeville, MN 55044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Care LLC's NPI number?

The NPI number for Divine Care LLC is 1548586191. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Divine Care LLC located?

Divine Care LLC is located at 16125 Hyland Ave, Lakeville, MN 55044. The listed phone number is (612) 423-9765.

What is Divine Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Divine Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2131052) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Care LLC was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.