DIVINE EMBRACE RESIDENTIAL HOMES
NPI 1063159069
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since May 19, 2022

Contact Information

18444 N 25TH AVE STE 420
PHOENIX, AZ
ZIP 85023
Phone: (623) 887-0400
Fax: (623) 887-0402

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About DIVINE EMBRACE RESIDENTIAL HOMES

This page provides the complete NPI Profile along with additional information for Divine Embrace Residential Homes, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1063159069 assigned on May 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is La Tanya Willis Fnp (Owner)

NPI
1063159069
Provider Name
DIVINE EMBRACE RESIDENTIAL HOMES
Entity Type
Organization
Location Address
18444 N 25TH AVE STE 420 PHOENIX, AZ 85023
Location Phone
(623) 887-0400
Location Fax
(623) 887-0402
Mailing Address
12324 N 144TH DR SURPRISE, AZ 85379
Mailing Phone
(216) 798-3926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2022
Last Update Date
09-29-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LA TANYA WILLIS FNP

Authorized Official Title
OWNER
Authorized Official Phone
(623) 887-0400

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063159069, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 2 + 5 + 1 + 8 + 0 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063159069.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Counselor
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Nurse Practitioner (Family)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Social Worker
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
In Home Supportive Care
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Adult Companion
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Behavior Technician
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Community/Behavioral Health
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Social Worker
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Social Worker (Clinical)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Behavior Technician
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Nurse Practitioner (Psychiatric/Mental Health)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Nurse Practitioner (Psychiatric/Mental Health)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063159069, enumerated as an "organization" on May 19, 2022.

The provider is located at 18444 N 25TH AVE STE 420 PHOENIX, AZ 85023 and the phone number is (623) 887-0400.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.