Organization Active NPI

Divine Hope Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Keizer, OR
National Provider Identifier
1477497733
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DIVINE HOPE HOMES LLC
Practice address
1720 Wildwood PL NE
Keizer, OR 97303-2447
Phone
(503) 390-1105
Fax
(503) 990-6285
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Divine Kwizera
Title
Director
Phone
(701) 390-8728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1720 Wildwood PL NE
Keizer, OR 97303-2447

Mailing address

1720 Wildwood PL NE
Keizer, OR 97303-2447
Phone (503) 390-1105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1477497733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WILDWOOD PL NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973032447",
            "telephone_number": "503-390-1105",
            "fax_number": "503-990-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WILDWOOD PL NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973032447",
            "telephone_number": "503-390-1105",
            "fax_number": "503-990-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOPE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "KWIZERA",
        "authorized_official_first_name": "DIVINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-390-8728"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.