DIVINE GRACE COUNTRY HOME LLC.
NPI 1780386730
Custodial Care Facility - Adult Care Home in Niles, MI

Q: What is Divine Grace Country Home LLC.'s NPI number?

The NPI number for Divine Grace Country Home LLC. is 1780386730. It was assigned to this organization in the NPPES registry on March 21, 2023. The provider is doing business as Divine Grace Country Home.

Q: What is Divine Grace Country Home LLC.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since March 21, 2023

7720 WRIGHT RD, NILES, MI 49120(269) 449-4285 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Divine Grace Country Home Llc. NPPES

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

DIVINE GRACE COUNTRY HOME LLC. (NPI 1780386730), doing business as Divine Grace Country Home, is a healthcare organization registered as an adult care home in Niles, Michigan and active in the NPI registry since March 2023. The organization lists Lisa Marie Ott, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1780386730

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameDIVINE GRACE COUNTRY HOME LLC.

Location Address7720 WRIGHT RDNiles, MI 49120-9071

Mailing AddressPo Box 243Baroda, MI 49101-0243 · (269) 449-4285

Phone(269) 449-4285

Organization SubpartNo

Authorized OfficialLisa Marie OttMember/owner · (269) 449-4285

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1780386730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

7720 WRIGHT RD, Niles, MI 49120

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Other Names 1

Doing Business AsDivine Grace Country Home

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 Grace Country Home LLC.'s NPI number?

The NPI number for Divine Grace Country Home LLC. is 1780386730. It was assigned to this organization in the NPPES registry on March 21, 2023. The provider is doing business as Divine Grace Country Home.

Where is Divine Grace Country Home LLC. located?

Divine Grace Country Home LLC. is located at 7720 Wright Rd, Niles, MI 49120. The listed phone number is (269) 449-4285.

What is Divine Grace Country Home LLC.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Divine Grace Country Home LLC. was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.