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DIVINE LIVING HOME, LLC
NPI 1275231037
Assisted Living Facility in Monona, WI

Active since February 21, 2023
4607 GORDON AVE, MONONA, WI 53716(608) 906-2037 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Living Home, Llc NPPES

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

DIVINE LIVING HOME, LLC (NPI 1275231037) is a healthcare organization registered as an assisted living facility in Monona, Wisconsin and active in the NPI registry since February 2023. The organization lists Kayi S Messanvi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275231037
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIVINE LIVING HOME, LLC
Location Address4607 GORDON AVEMonona, WI 53716-1017
Mailing Address322 Milky WayMadison, WI 53718-3026 · (608) 906-2037
Phone(608) 906-2037
Organization SubpartNo
Authorized OfficialKayi S MessanviAdministrator · (608) 906-2037
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1275231037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedRespite CareTaxonomy 385H00000X
4607 GORDON AVE, Monona, WI 53716
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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 Living Home, LLC's NPI number?

The NPI number for Divine Living Home, LLC is 1275231037. It was assigned to this organization in the NPPES registry on February 21, 2023.

Where is Divine Living Home, LLC located?

Divine Living Home, LLC is located at 4607 Gordon Ave, Monona, WI 53716. The listed phone number is (608) 906-2037.

What is Divine Living Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Divine Living Home, LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.