DIVINE LIVING LIMITED LIABILITY COMPANY
NPI 1871189985
Assisted Living Facility in Baltimore, MD
About Divine Living Limited Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE LIVING LIMITED LIABILITY COMPANY (NPI 1871189985) is a healthcare organization registered as an assisted living facility in Baltimore, Maryland and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Victor Egbiremolen, Owner/assisted Living Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 21D2347628
Divine Living · Baltimore, MDFrequently 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 Living Limited Liability Company's NPI number?
The NPI number for Divine Living Limited Liability Company is 1871189985. It was assigned to this organization in the NPPES registry on December 14, 2020.
Where is Divine Living Limited Liability Company located?
Divine Living Limited Liability Company is located at 202 E Lanvale St, Baltimore, MD 21202. The listed phone number is (443) 682-3762.
What is Divine Living Limited Liability Company's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Divine Living Limited Liability Company hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2347628) is associated with this NPI, valid through July 21, 2028. 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 Living Limited Liability Company was last updated on December 14, 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.
# Divine Living Limited Liability Company · NPI 1871189985
Assisted Living Facility organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since December 14, 2020.
## Identity
- **NPI:** 1871189985 (Entity type: Organization)
- **Enumerated:** December 14, 2020
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Victor Egbiremolen, OWNER/ASSISTED LIVING MANAGER
## Practice location
- **Address:** 202 E LANVALE ST, Baltimore, MD 21202-2814
- **Phone:** (443) 682-3762
## Record status
- **NPPES last updated:** December 14, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871189985) · Data from the CMS NPPES public registry.