Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIVINE LIFE INSTITUTE LLC
Active
Organization
DIVINE LIFE INSTITUTE LLC
Active
Other names
Divine Life Institute LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE BELIZAIRE (OWNER)
(978) 381-9007
Entity
Organization
Contact information
Practice address
75 ARLINGTON ST STE 500, BOSTON, MA 02116-3936
(978) 381-9007
(855) 420-6895
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(978) 540-5222
(185) 542-0689
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up