Divine Transformations, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS630301996 Issued in MI

Legal business name

DIVINE TRANSFORMATIONS, LLC

Practice address

1186 Lawrence St
Detroit, MI 48202-1029

Phone

(313) 215-3181

Fax

(313) 731-7656

NPI assigned

Feb 24, 2014

Last updated

Feb 24, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

DIVINE TRANSFORMATIONS ADULT DAY CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Rosaline Lenette White

Title

Owner/Supervisor

Phone

(248) 298-9217

Specialties & licenses 1

Addresses

Part of

Divine Transformations LLC

Locations

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1760807002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18151 SANTA ANN AVE",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764523",
            "telephone_number": "313-215-3181",
            "fax_number": "313-731-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 LAWRENCE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021029",
            "telephone_number": "313-215-3181",
            "fax_number": "313-731-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRANSFORMATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE TRANSFORMATIONS ADULT DAY CENTER",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_middle_name": "LENETTE",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "248-298-9217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS630301996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Medical Center P C
• Divine Mercyy Home Care
• Divine Pharmacy LLC (Divine Pharmacy)
• Divine Rehab LLC
• Divine Touch Care Solutions LLC
• Divine Unity Home Care
• Divine Unity Home Care LLC
• Divinity in Motion
• Chelsey Divozzo, CRNA
• Carole Elyse Dix, LMSW

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.