Organization Active NPI

Divine Konnections Inc.

  • Case Management Agency
  • Duluth, MN
National Provider Identifier
1164189296
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIVINE KONNECTIONS INC.
Practice address
4213 W 5TH St
Duluth, MN 55807-1509
Phone
(972) 607-6578
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Deyona Kirk
Title
Executive Director
Phone
(972) 607-6578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4213 W 5TH St
Duluth, MN 55807-1509

Mailing address

4213 W 5TH St
Duluth, MN 55807-1509
Phone (972) 607-6578

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1164189296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 W 5TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071509",
            "telephone_number": "972-607-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 W 5TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071509",
            "telephone_number": "972-607-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE KONNECTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "DEYONA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-607-6578"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.