Organization Active NPI

Its in the Divine LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1578235016
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ITS IN THE DIVINE LLC
Practice address
607 Shelby St Ste 700-1117
Detroit, MI 48226-3268
Phone
(313) 766-2020
Fax
(231) 216-7580
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Ms. Crystal Dixon
Title
Ceo
Phone
(313) 205-4524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

607 Shelby St Ste 700-1117
Detroit, MI 48226-3268

Mailing address

18115 Littlefield St
Detroit, MI 48235-1466
Phone (313) 205-4524

Other identifiers 1

IdentifierTypeStateIssuer
802633631MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ITSINTHEEDIVINE.COM Direct

National Provider Directory

National Provider Directory

Locations

607 Shelby St
Ste 7001117
Detroit, MI 48226
Phone (313) 766-2020

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1578235016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18115 LITTLEFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351466",
            "telephone_number": "313-205-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SHELBY ST STE 700-1117",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263268",
            "telephone_number": "313-766-2020",
            "fax_number": "231-216-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITS IN THE DIVINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-205-4524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802633631",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ITSINTHEEDIVINE.COM",
            "affiliation": "N",
            "endpointDescription": "WHERE ITS A DESCRIPTION OF THE SITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "607 Shelby St Ste 700-1117",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482263268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.