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DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
NPI 1356843544
Substance Abuse Rehabilitation Facility in Goodyear, AZ

Active since March 02, 2018
16040 W VOGEL AVE, GOODYEAR, AZ 85338(623) 932-5986 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Assurance Behavioral Health Residentail Care Llc NPPES

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

DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC (NPI 1356843544) is a healthcare organization registered as a substance abuse rehabilitation facility in Goodyear, Arizona and active in the NPI registry since March 2018. The organization lists Lucas Olatunde, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1356843544
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
Location Address16040 W VOGEL AVEGoodyear, AZ 85338-3571
Mailing Address16040 W Vogel AveGoodyear, AZ 85338-3571
Phone(623) 932-5986
Organization SubpartNo
Authorized OfficialLucas OlatundeOwner/administrator · (623) 932-5986
Enumeration DateMarch 2, 2018
✔ NPI 1356843544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · BH5383
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
16040 W VOGEL AVE, Goodyear, AZ 85338
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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 Assurance Behavioral Health Residentail Care LLC's NPI number?

The NPI number for Divine Assurance Behavioral Health Residentail Care LLC is 1356843544. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Divine Assurance Behavioral Health Residentail Care LLC located?

Divine Assurance Behavioral Health Residentail Care LLC is located at 16040 W Vogel Ave, Goodyear, AZ 85338. The listed phone number is (623) 932-5986.

What is Divine Assurance Behavioral Health Residentail Care LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Divine Assurance Behavioral Health Residentail Care LLC was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.