Divine Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

376844 Issued in MN

Legal business name

DIVINE CARE LLC

Practice address

16125 Hyland Ave
Lakeville, MN 55044-8883

Phone

(612) 423-9765

Fax

(952) 236-9202

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Fentezia Zewdie, RN

Title

Owner

Phone

(612) 423-9765

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1548586191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 HYLAND AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448883",
            "telephone_number": "612-423-9765",
            "fax_number": "952-236-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 HYLAND AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448883",
            "telephone_number": "612-423-9765",
            "fax_number": "952-236-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "ZEWDIE",
        "authorized_official_first_name": "FENTEZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-9765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "376844",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "376844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Deutschman, DC
• Alexis Rae Diamond
• Lilli Ann Dickenson
• Dillman Clinic & Lab, Inc
• Megan Dillman
• Grace Ann Dockendorf
• Jadyn Dodge
• Erica Marie Dolan, L.AC., M.AC.
• Alicia Dorn, LCPC, LPCC
• Robert Joseph Dorn, DC

• Home Health Agency in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.