Individual provider · Type 1 NPI

Divinia Dewaynia Ellis

Case Manager/Care Coordinator · North St. Paul, MN

NPI number 1972454841 Active

Practice location

2365 Mcknight Rd N
North St. Paul, MN 55109-2238

Call (651) 370-2373 Map

Fax (651) 370-2373

Mailing address

8430 Yucca Ln N
Maple Grove, MN 55369-4671

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator Primary 171M00000XNone listed

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1972454841

Divinia Dewaynia Ellis's National Provider Identifier is 1972454841, issued on Feb 6, 2026. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in North St. Paul, MN. The record was last updated on Feb 6, 2026.