Divine Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DIVINE LIVING, LLC

Practice address

6657 Sorensen Pkwy
Omaha, NE 68152-2139

Phone

(402) 315-3593

NPI assigned

Jan 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dashawn Jamar McGary

Title

Director of Finance

Phone

(402) 213-8417

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1154036747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139",
            "telephone_number": "402-315-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6657 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139",
            "telephone_number": "402-315-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MCGARY",
        "authorized_official_first_name": "DASHAWN",
        "authorized_official_middle_name": "JAMAR",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "402-213-8417"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Mobile PT LLC
• Suzanne Divett, CHORE PROVIDER
• Divine Angels Healthcare LLC
• Divine Angels Home Health LLC
• Divine Connection
• Divine Timing Therapy LLC
• Jessica Dix
• Anna Dixon
• Dalonte Lamar Dixon
• Dawn Dixon

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.