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DIVINE HOUSE II INC.
NPI 1770623217
Intermediate Care Facility, Intellectual Disabilities in Dawson, MN

Active since February 07, 2007
2974 192ND ST, DAWSON, MN 56232(320) 769-4444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine House Ii Inc. NPPES

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

DIVINE HOUSE II INC. (NPI 1770623217) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Dawson, Minnesota and active in the NPI registry since February 2007. The organization lists Todd Hillstrom, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770623217
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDIVINE HOUSE II INC.
Location Address2974 192ND STDawson, MN 56232
Mailing Address2974 192nd St, Po Box 309Dawson, MN 56232 · (320) 769-4444
Phone(320) 769-4444
Organization SubpartNo
Authorized OfficialTodd HillstromAdministrator · (320) 769-4444
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770623217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2974 192ND ST, Dawson, MN 56232
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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 24D1067426

Divine House Inc 2 · Dawson, MN
Expired · Aug 6, 2026
CLIA Number24D1067426
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorElizabeth Hillstrom
Laboratory Phone(320) 441-7001
Laboratory LocationDivine House Inc 22974 192nd St, Dawson, MN 56232
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FACING NEW HORIZONS, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2974 192ND ST
DAWSON, MN 56232
Lac Qui Parle County (320) 769-4444

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 II Inc.'s NPI number?

The NPI number for Divine House II Inc. is 1770623217. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Divine House II Inc. located?

Divine House II Inc. is located at 2974 192nd St, Dawson, MN 56232. The listed phone number is (320) 769-4444.

What is Divine House II Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Divine House II Inc. was last updated on August 22, 2020. 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.