D.I.V.I.N.E. Institute, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

D.I.V.I.N.E. INSTITUTE, INC.

Practice address

729 Penn Ave N
Minneapolis, MN 55411-3625

Phone

(612) 459-7011

Fax

(651) 409-9530

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Aretta-Rie Johnson

Title

Ceo

Phone

(651) 447-5120

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1154915684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 STELLAR PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551175446",
            "telephone_number": "651-447-5120",
            "fax_number": "651-409-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PENN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113625",
            "telephone_number": "612-459-7011",
            "fax_number": "651-409-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.I.V.I.N.E. INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ARETTA-RIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-447-5120"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arettarie@divineinstitute.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "729 Penn Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554113625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaley Gregory Czech, OTR/L
• Stephanie Lynn Czech, CRNA
• Ashley Frances Czipar, M.A., SLP
• Sheena Lee Czipri, PSYD
• Jan K Czyzyk, MD
• Sloan W D'Autremont, MD
• D'Crimmon Care LLC
• Heidi Jo D'Kae, DNP
• Andrea Mattea D'Onore, RN
• Donna Louise D'Souza, M.D.

• Foster Care Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.