OrganizationActive
Divine Care Services
NPI 1619784576 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brooklyn Park, MN
Provider details
- NPI number
- 1619784576
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- T-Max Barlue, Ceo(712) 501-0363
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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.
Practice location
6001 70th Ave N
Brooklyn Park, MN 55429-1001
Phone: (712) 501-0363
Street-level locationGet directions
Mailing address
1120 52nd Ave Ne
Fridley, MN 55421-1876
Other names (DBA / former)
- Doing business as
- Divine Care Services
- Doing business as
- N/A
Registry dates
- Enumerated
- 2024-12-14
- Last updated
- 2024-12-14
- Certified
- 2024-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.