OrganizationActive

Divine Residential Care Agency, Llc

Assisted Living Facility

DAPHAINE MOORE BLAKES

NPI: 1457775744Winona, Mississippi, 38967(901) 281-2747

About Divine Residential Care Agency, Llc

Divine Residential Care Agency, Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1457775744. The authorized official for Divine Residential Care Agency, Llc is DAPHAINE MOORE BLAKES.

The organization is headquartered at 506 SPEEDWAY AVE, Winona, Mississippi 38967. The main office can be reached at (901) 281-2747. Divine Residential Care Agency, Llc has been NPI-registered since 2014.

Locations & Contact

Primary Location

Address: 506 SPEEDWAY AVE
City: Winona
State: Mississippi
ZIP: 38967-1816
Phone: (901) 281-2747
Fax: (662) 470-5771

View on Google Maps

Authorized Official

Name: DAPHAINE MOORE BLAKES

Mailing Address

Address: 7061 FOXHALL DR
City: HORN LAKE
State: MS
ZIP: 386371269

NPI Registration

Enumeration Date: Feb 7, 2014
Last Updated: Feb 7, 2014
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty: Assisted Living Facility
Classification: Assisted Living Facility
Taxonomy Code: 310400000X

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Divine Residential Care Agency, Llc's NPI number?

Divine Residential Care Agency, Llc's National Provider Identifier (NPI) is 1457775744. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Divine Residential Care Agency, Llc specialize in?

Divine Residential Care Agency, Llc specializes in Assisted Living Facility.

Where is Divine Residential Care Agency, Llc located?

Divine Residential Care Agency, Llc practices at 506 SPEEDWAY AVE, Winona, Mississippi 38967. You can reach them by phone at (901) 281-2747.

Does Divine Residential Care Agency, Llc accept Medicare?

Based on available data, Divine Residential Care Agency, Llc is not currently enrolled in the Medicare program.

Does Divine Residential Care Agency, Llc offer telehealth or virtual visits?

Divine Residential Care Agency, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Divine Residential Care Agency, Llc holds NPI 1457775744, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.