DIVINE HAVEN INC NPI 1730040197

NPI Information

  • NPI: 1730040197
  • Provider Name: DIVINE HAVEN INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 19825 N COVE RD # 1010
    CORNELIUS, NC
    ZIP 28031
  • Phone: (704) 565-9257

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NPI Details

DIVINE HAVEN INC is a community behavioral health in Cornelius, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DIVINE HAVEN INC NPI is 1730040197. The provider is registered as an organization entity type.

The provider's business location address is:

19825 N COVE RD # 1010
CORNELIUS, NC
ZIP 28031-446
Phone: (704) 565-9257

The provider's authorized official is Monique Williams .
The authorized official title is Owner/ceo and has the following contact phone number (727) 506-0177.

The enumeration date for this NPI number is 11/24/2025 and was last updated on 11/24/2025.

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
1253Z00000XIn Home Supportive CareNo
2385H00000XRespite CareNo
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
4251S00000XCommunity/Behavioral 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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