Organization Active NPI

Divinity Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Maple Grove, MN
National Provider Identifier
1538310982
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
PENDING Issued in MN
Legal business name
DIVINITY ENTERPRISES LLC
Practice address
8075 Magnolia LN N
Maple Grove, MN 55369-7177
Phone
(651) 341-6390
NPI assigned
Oct 3, 2008
Last updated
Oct 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mr. David Nyamari Nyaosi
Title
Ceo
Phone
(651) 341-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X PENDING MN Primary

Addresses

Primary practice location

8075 Magnolia LN N
Maple Grove, MN 55369-7177

Mailing address

PO Box 40365
Saint Paul, MN 55104-8365
Phone (651) 341-6390

National Provider Directory

National Provider Directory
Tax ID family
Comforide Transportation Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1538310982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40365",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551048365",
            "telephone_number": "651-341-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MAGNOLIA LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697177",
            "telephone_number": "651-341-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "NYAOSI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NYAMARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-341-6390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.