DIVINE HEALTH LLC
NPI 1871240267
Nurse Practitioner - Family in Saint Paul, MN

Q: What is Divine Health LLC's NPI number?

The NPI number for Divine Health LLC is 1871240267. It was assigned to this organization in the NPPES registry on March 4, 2022.

Q: What is Divine Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Divine Health LLC was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 04, 2022

625 SNELLING AVE N STE A-2, SAINT PAUL, MN 55104(952) 288-9921 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Divine Health Llc NPPES

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

DIVINE HEALTH LLC (NPI 1871240267) is a healthcare organization registered as a family in Saint Paul, Minnesota and active in the NPI registry since March 2022. The organization lists Victor T Davis, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1871240267

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDIVINE HEALTH LLC

Location Address625 SNELLING AVE N STE A-2Saint Paul, MN 55104-2878

Mailing Address625 Snelling Ave N Ste A-2Saint Paul, MN 55104-2878 · (952) 288-9921

Phone(952) 288-9921

Organization SubpartNo

Authorized OfficialVictor T DavisCo-owner · (952) 288-9921

Enumeration DateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1871240267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

625 SNELLING AVE N STE A-2, Saint Paul, MN 55104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MFON BASSEY

Counselor (Addiction (Substance Use Disorder))

625 SNELLING AVE N STE A-2
SAINT PAUL, MN 55104

Ramsey County (763) 381-4188

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 Health LLC's NPI number?

The NPI number for Divine Health LLC is 1871240267. It was assigned to this organization in the NPPES registry on March 4, 2022.

Where is Divine Health LLC located?

Divine Health LLC is located at 625 Snelling Ave N Ste A-2, Saint Paul, MN 55104. The listed phone number is (952) 288-9921.

What is Divine Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Divine Health LLC was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.