What is Divine Residential Care Agency, LLC's NPI number?

Divine Residential Care Agency, LLC's National Provider Identifier (NPI) is 1457775744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Divine Residential Care Agency, LLC?

Divine Residential Care Agency, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).

Where is Divine Residential Care Agency, LLC located?

Divine Residential Care Agency, LLC's practice location on file with NPPES is 506 Speedway Ave, Winona, MS 38967-1816.

What is Divine Residential Care Agency, LLC's phone number?

The practice phone number listed in the NPPES registry for Divine Residential Care Agency, LLC is (901) 281-2747.

Who is the authorized official for Divine Residential Care Agency, LLC?

The authorized official listed on Divine Residential Care Agency, LLC's NPPES record is Daphaine Moore Blakes, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Divine Residential Care Agency, LLC's NPI active?

Yes — Divine Residential Care Agency, LLC's NPI (1457775744) is active in the NPPES registry as of the last update on 2014-02-07.

OrganizationActive

Divine Residential Care Agency, LLC

NPI 1457775744 · Assisted Living Facility · Winona, MS

Divine Residential Care Agency, LLC is a Assisted Living Facility organization in Winona, MS (NPI 1457775744).

Provider details

NPI number: 1457775744
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Daphaine Moore Blakes, Ceo(901) 281-2747

Practice location

506 Speedway Ave

Winona, MS 38967-1816

Phone: (901) 281-2747

Fax: (662) 470-5771

Street-level locationGet directions

More MS providers

Mailing address

7061 Foxhall Dr

Horn Lake, MS 38637-1269

Specialties & taxonomies

Assisted Living FacilityPrimary310400000X
Nursing & Custodial Care Facilities

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2014-02-07
Last updated: 2014-02-07

Frequently asked questions

What is Divine Residential Care Agency, LLC's NPI number?: Divine Residential Care Agency, LLC's National Provider Identifier (NPI) is 1457775744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Divine Residential Care Agency, LLC?: Divine Residential Care Agency, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
Where is Divine Residential Care Agency, LLC located?: Divine Residential Care Agency, LLC's practice location on file with NPPES is 506 Speedway Ave, Winona, MS 38967-1816.
What is Divine Residential Care Agency, LLC's phone number?: The practice phone number listed in the NPPES registry for Divine Residential Care Agency, LLC is (901) 281-2747.
Who is the authorized official for Divine Residential Care Agency, LLC?: The authorized official listed on Divine Residential Care Agency, LLC's NPPES record is Daphaine Moore Blakes, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Divine Residential Care Agency, LLC's NPI active?: Yes — Divine Residential Care Agency, LLC's NPI (1457775744) is active in the NPPES registry as of the last update on 2014-02-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions