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

Active since May 19, 2022
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023(623) 887-0400(623) 887-0402 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Embrace Residential Homes NPPES

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

DIVINE EMBRACE RESIDENTIAL HOMES (NPI 1063159069) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since May 2022. The organization lists La Tanya Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063159069
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDIVINE EMBRACE RESIDENTIAL HOMES
Location Address18444 N 25TH AVE STE 420Phoenix, AZ 85023-1268
Mailing Address12324 N 144th DrSurprise, AZ 85379-4477 · (216) 798-3926
Phone(623) 887-0400
Fax(623) 887-0402
Organization SubpartNo
Authorized OfficialLa Tanya WillisOwner · (623) 887-0400
Enumeration DateMay 19, 2022
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1063159069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
18444 N 25TH AVE STE 420, Phoenix, AZ 85023
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Other Providers at the Same Location NPPES 14

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

ONE COMMUNITY AZ LLC
Community/Behavioral Health
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (702) 695-8006
CHOICE MOBILE ANESTHESIA
Dentist (General Practice)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (602) 865-7294
CHRISTINE BESAW-MCGAVREN MC, LAC
Counselor
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (602) 499-9952
MRS. STEPHANIE J DOCKINS NP
Nurse Practitioner (Psychiatric/Mental Health)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (623) 261-1790
SADAF SHAHAB JUNEJO BEHAVIOR TECH
Behavior Technician
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (520) 346-3133
ADONAI CARE LLC
In Home Supportive Care
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (480) 404-0997
LAUREN JOY BORDER LCSW
Social Worker (Clinical)
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (623) 203-3407
MRS. KERRI MCKINNEY CARO LMSW
Social Worker
18444 N 25TH AVE STE 420
PHOENIX, AZ 85023
Maricopa County (602) 499-9952

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 Divine Embrace Residential Homes's NPI number?

The NPI number for Divine Embrace Residential Homes is 1063159069. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Divine Embrace Residential Homes located?

Divine Embrace Residential Homes is located at 18444 N 25th Ave Ste 420, Phoenix, AZ 85023. The listed phone number is (623) 887-0400.

What is Divine Embrace Residential Homes's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Divine Embrace Residential Homes was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.