DIVINE CARE SERVICES
NPI 1619784576
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brooklyn Park, MN

Active since December 14, 2024
6001 70TH AVE N, BROOKLYN PARK, MN 55429(712) 501-0363 Get Directions Write a Review

NPPES record last updated: December 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Care Services NPPES

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

DIVINE CARE SERVICES (NPI 1619784576) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Brooklyn Park, Minnesota and active in the NPI registry since December 2024. The organization lists T-max Blayon Barlue, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619784576
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIVINE CARE SERVICES
Location Address6001 70TH AVE NBrooklyn Park, MN 55429-1001
Mailing Address1120 52nd Ave NeFridley, MN 55421-1876 · (710) 210-0363
Organization SubpartNo
Authorized OfficialT-max Blayon BarlueCeo · (712) 501-0363
Enumeration DateDecember 14, 2024
NPPES CertifiedDecember 14, 2024
NPI 1619784576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6001 70TH AVE N, Brooklyn Park, MN 55429

Other Names 1

Doing Business AsDivine Care Services

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 Services's NPI number?

The NPI number for Divine Care Services is 1619784576. It was assigned to this organization in the NPPES registry on December 14, 2024.

Where is Divine Care Services located?

Divine Care Services is located at 6001 70th Ave N, Brooklyn Park, MN 55429. The listed phone number is (712) 501-0363.

What is Divine Care Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Divine Care Services was last updated on December 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.