1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Assisted Living Facility
  6. NPI Profile

DIVINE PROVIDENCE HOMES LLC
NPI 1689246183
Assisted Living Facility in Saint Paul, MN

Active since July 14, 2021CLIA 24D2244175 · Waiver
1445 WINTHROP ST N, SAINT PAUL, MN 55119(651) 327-1445(651) 327-1445 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Providence Homes Llc NPPES

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

DIVINE PROVIDENCE HOMES LLC (NPI 1689246183) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Karen Borra Mendoza, Owner, as its authorized official.

NPPES Registry Identity

NPI1689246183
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIVINE PROVIDENCE HOMES LLC
Location Address1445 WINTHROP ST NSaint Paul, MN 55119-3065
Mailing Address1445 Winthrop St NSaint Paul, MN 55119-3065 · (651) 327-1445 · Fax (651) 327-1445
Phone(651) 327-1445
Fax(651) 327-1445
Organization SubpartNo
Authorized OfficialKaren Borra MendozaOwner · (651) 785-6880
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1689246183 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.
1445 WINTHROP ST N, Saint Paul, MN 55119
Open in Google Maps ↗

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 24D2244175

Divine Providence Homes, LLC · Saint Paul, MN
Active · expires Nov 29, 2027
CLIA Number24D2244175
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorKaren Mendoza
Laboratory Phone(651) 785-6880
Laboratory LocationDivine Providence Homes, LLC1445 Winthrop St N, Saint Paul, MN 55119
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 Providence Homes LLC's NPI number?

The NPI number for Divine Providence Homes LLC is 1689246183. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Divine Providence Homes LLC located?

Divine Providence Homes LLC is located at 1445 Winthrop St N, Saint Paul, MN 55119. The listed phone number is (651) 327-1445.

What is Divine Providence Homes LLC's specialty?

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

Does Divine Providence Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2244175) is associated with this NPI, valid through November 29, 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 Providence Homes LLC was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.