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Divine House, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Willmar, MN · enumerated 2006 · authorized official Debra Shriver, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720166259

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Registry record

Entity type Organization (Type 2)
Legal business name Divine House, Inc.
Practice address 328 5th St Sw, Willmar, MN, 56201
Fax (320) 231-3666
Enumeration date Nov 1, 2006
Last updated in NPPES Sep 28, 2016

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 344820700 (MN) Primary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 800666 (MN) Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 754316600 (MN) Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 97395 (MN) Secondary

Authorized official

Name Debra Shriver
Title Owner

Other identifiers

Identifier Type State Issuer
202D2DI Other MN BCBS ID
030701087 Other MN PRIME WEST
344820700 Medicaid MN -
754316600 Other MN PCA NUMBER

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.

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Frequently asked questions

What type of organization is Divine House, Inc.?
Divine House, Inc. is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-28.