NPIMap

Organization Active NPI

Divine Transformations, LLC

  • Assisted Living Facility
  • Lathrup Village, MI
National Provider Identifier
1912201732
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AS630301996 Issued in MI
Legal business name
DIVINE TRANSFORMATIONS, LLC
Practice address
18151 Santa Ann Ave
Lathrup Village, MI 48076-4523
Phone
(248) 569-3582
NPI assigned
Jan 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Authorized official

Name
Mrs. Rosaliine White
Title
Administrator
Phone
(248) 298-9217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AS630301996 MI Primary

Addresses

Primary practice location

18151 Santa Ann Ave
Lathrup Village, MI 48076-4523

Mailing address

18151 Santa Ann Ave
Lathrup Village, MI 48076-4523
Phone (248) 569-3582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1912201732",
    "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": "248-569-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 SANTA ANN AVE",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764523",
            "telephone_number": "248-569-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROSALIINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-298-9217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS630301996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; 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.