NPI 1538155809 · live from the CMS NPI Registry
Divine Providence Community Home
Skilled Nursing Facility in Sleepy Eye, MN. National Provider Identifier 1538155809, active.
NPI record
| NPI | 1538155809 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 700 Third Ave Nw, Sleepy Eye, MN 56085 |
| Practice phone | 507-794-3011 |
| Enumerated | September 22, 2005 |
| Last updated | January 12, 2012 |
| Authorized official | Jayna Groebner, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 328233 (MN) |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.