1. Home
  2. Directory
  3. Arizona
  4. Goodyear
  5. Custodial Care Facility
  6. NPI Profile

DEVINE ASSISTED LIVING LLC
NPI 1003607425
Custodial Care Facility - Adult Care Home in Goodyear, AZ

Active since May 15, 2025
15453 W MADISON ST, GOODYEAR, AZ 85338(602) 369-6817 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devine Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVINE ASSISTED LIVING LLC (NPI 1003607425) is a healthcare organization registered as an adult care home in Goodyear, Arizona and active in the NPI registry since May 2025. The organization lists Sharice L Garner, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1003607425
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameDEVINE ASSISTED LIVING LLC
Location Address15453 W MADISON STGoodyear, AZ 85338-3397
Mailing Address15453 W Madison StGoodyear, AZ 85338-3397 · (602) 369-6817
Phone(602) 369-6817
Organization SubpartNo
Authorized OfficialSharice L GarnerManager/owner · (602) 369-6817
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1003607425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
15453 W MADISON ST, Goodyear, AZ 85338
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISATU SANKOH
Community/Behavioral Health
15453 W MADISON ST
GOODYEAR, AZ 85338
Maricopa County (602) 380-9189
CALEB HEALTHCARE LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
15453 W MADISON ST
GOODYEAR, AZ 85338
Maricopa County (623) 628-3252
LIFEGATE HEALTH SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
15453 W MADISON ST
GOODYEAR, AZ 85338
Maricopa County (602) 419-4970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devine Assisted Living LLC's NPI number?

The NPI number for Devine Assisted Living LLC is 1003607425. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Devine Assisted Living LLC located?

Devine Assisted Living LLC is located at 15453 W Madison St, Goodyear, AZ 85338. The listed phone number is (602) 369-6817.

What is Devine Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Devine Assisted Living LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.