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DIVINE HOUSE, INC.
NPI 1720166259
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willmar, MN

Active since November 01, 2006
328 5TH ST SW, WILLMAR, MN 56201(320) 231-2738(320) 231-3666 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine House, Inc. NPPES

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

DIVINE HOUSE, INC. (NPI 1720166259) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Willmar, Minnesota and active in the NPI registry since November 2006. The organization lists Debra Joanne Shriver, Owner, as its authorized official.

NPPES Registry Identity

NPI1720166259
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIVINE HOUSE, INC.
Location Address328 5TH ST SWWillmar, MN 56201-3200
Mailing Address328 5th St SwWillmar, MN 56201-3200 · (320) 231-2738 · Fax (320) 231-3666
Phone(320) 231-2738
Fax(320) 231-3666
Organization SubpartNo
Authorized OfficialDebra Joanne ShriverOwner · (320) 231-2738
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 28, 2016
✔ NPI 1720166259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Licenses✔ Licensed in MN · 344820700✔ Licensed in MN · 800666✔ Licensed in MN · 754316600✔ Licensed in MN · 97395
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
328 5TH ST SW, Willmar, MN 56201
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Other Identifiers 4

Other202D2DIMN · Bcbs Id
Medicaid344820700MN
Other030701087MN · Prime West
Other754316600MN · Pca Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIER 1 SECURITY, INC.
Non-emergency Medical Transport (VAN)
328 5TH ST SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-2738
CENTRAL MINNESOTA SENIOR CARE, INC.
Assisted Living Facility
328 5TH ST SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-2738

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 House, Inc.'s NPI number?

The NPI number for Divine House, Inc. is 1720166259. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Divine House, Inc. located?

Divine House, Inc. is located at 328 5th St SW, Willmar, MN 56201. The listed phone number is (320) 231-2738.

What is Divine House, Inc.'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 House, Inc. was last updated on September 28, 2016. 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.