DIVINE ARRIVAL LLC NPI 1154259695

NPI Information

  • NPI: 1154259695
  • Provider Name: DIVINE ARRIVAL LLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 5820 N CANTON CENTER RD STE 120
    CANTON, MI
    ZIP 48187
  • Phone: (734) 981-2800

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NPI Details

DIVINE ARRIVAL LLC is a community health clinic center in Canton, MI. DIVINE ARRIVAL LLC NPI is 1154259695. The provider is registered as an organization entity type.

The provider's business location address is:

5820 N CANTON CENTER RD STE 120
CANTON, MI
ZIP 48187-679
Phone: (734) 981-2800
Fax: (734) 981-9028

The provider's authorized official is Jyothi Nichanametla .
The authorized official title is Doctor and has the following contact phone number (734) 981-2800.

The enumeration date for this NPI number is 5/13/2026 and was last updated on 5/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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