DIVINE HOUSE II INC. NPI 1770623217

NPI Information

  • NPI: 1770623217
  • Provider Name: DIVINE HOUSE II INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 24D1067426
  • Address: 2974 192ND ST
    DAWSON, MN
    ZIP 56232
  • Phone: (320) 769-4444

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NPI Details

DIVINE HOUSE II INC. is an intermediate care facility mentally retarded in Dawson, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DIVINE HOUSE II INC. NPI is 1770623217. The provider is registered as an organization entity type.

The provider's business location address is:

2974 192ND ST
DAWSON, MN
ZIP 56232
Phone: (320) 769-4444

The provider's authorized official is Todd Hillstrom .
The authorized official title is Administrator and has the following contact phone number (320) 769-4444.

The CLIA number assigned to this NPI record is 24D1067426 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMINNESOTAYes

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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