Divine Vision Development Centers Inc

Primary specialty

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

License

BD9026217 Issued in KY

Legal business name

DIVINE VISION DEVELOPMENT CENTERS INC

Practice address

1313 N Limestone
Lexington, KY 40505-3243

Phone

(859) 806-1563

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Banks Sr.

Title

Administrator

Phone

(859) 806-1563

Specialties & licenses 1

Addresses

Tax ID family

Divine Vision Developement Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine Vision Developement Center Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Versailles, KY
  • NPI 1568636108
  NPD tax ID

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336369644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N LIMESTONE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40505",
            "telephone_number": "859-806-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053243",
            "telephone_number": "859-806-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE VISION DEVELOPMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-806-1563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": "BD9026217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Disney
• Stacy Disney
• Margaret Ann Disselkamp, MD
• Lori Kay Distler, OTR/L
• Walter Alfred Divers, MD
• Divine Vision Developments (DVD)
• Holly S Divine, PHARM.D
• Derek Steven Dixon, DO
• Jennifer Nicole Dixon, CSW
• Joshua Perry Dixon

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.