Divine House, Inc.
Divine House, Inc. is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Willmar, MN, holding Type 2 (organization) NPI 1720166259 since 2006. The authorized official on file is Debra Shriver, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720166259 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Divine House, Inc. |
| Practice address | 328 5TH ST SW, Willmar, MN, 56201 |
| Phone | 3202312738 |
| Fax | 3202313666 |
| Enumeration date | 2006-11-01 |
| Last updated in NPPES | 2016-09-28 |
Authorized official
| Name | Debra Shriver |
|---|---|
| Title | Owner |
| Phone | 3202312738 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Secondary | 800666 | MN |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Secondary | 754316600 | MN |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Secondary | 97395 | MN |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | 344820700 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202D2DI | Other | MN | BCBS ID |
| 030701087 | Other | MN | PRIME WEST |
| 344820700 | Medicaid | MN | — |
| 754316600 | Other | MN | PCA NUMBER |
Copy-ready billing details
Provider: Divine House, Inc. NPI: 1720166259 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 328 5TH ST SW, Willmar, MN, 56201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134268030 | Central Minnesota Senior Care, Inc. | Organization | Assisted Living Facility | Willmar, MN |
| 1063078798 | Tier 1 Security, Inc. | Organization | Non-emergency Medical Transport (VAN) | Willmar, MN |
Verify this record
Cross-check NPI 1720166259 against the authoritative CMS record: view Divine House, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Divine House, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-09-28.