Divine Individualized Supports
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sewell, New Jersey
1083336093- Practice location
- 703 Arons Cir, Sewell, NJ 08080-2534
- Phone
- 856-434-1856
- Fax
- —
- Last updated
- September 15, 2022
Divine Individualized Supports is a healthcare organization based in Sewell, NJ. Divine Individualized Supports practices in Sewell, NJ. The NPI Number for Divine Individualized Supports is 1083336093. The current practice location address for Divine Individualized Supports is 703 Arons Cir, Sewell, NJ 08080-2534 and can be reached out via phone at 856-434-1856.
Provider Profile Details
- NPI Number
- 1083336093
- Provider Name
- Divine Individualized Supports
- Provider Entity Type
- Organization
- Address
- 703 Arons Cir, Sewell, NJ 08080-2534
- Phone Number
- 856-434-1856
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Khristopher Inman · Ceo · 856-434-1856
- Provider Enumeration Date
- September 15, 2022
- Last Update Date
- September 15, 2022
- Certification Date
- September 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 Arons Cir
Sewell, NJ 08080-2534 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2534
- Phone Number
- 856-434-1856
Provider Business Mailing Address Details
- Address
- 703 Arons Cir
Sewell, NJ 08080-2534 - City
- Sewell
- State
- NJ
- Zip
- 08080-2534
- Phone Number
- 856-434-1856
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Divine Individualized Supports?
The NPI number of Divine Individualized Supports is 1083336093. It was assigned on September 15, 2022 and is currently active in the NPPES registry.
What is the specialty of Divine Individualized Supports?
Divine Individualized Supports is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Divine Individualized Supports practice?
The practice location is 703 Arons Cir, Sewell, NJ 08080-2534. The office can be reached at 856-434-1856 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083336093 directly on the NPPES registry website.