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DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
NPI 1598359184
Substance Abuse Rehabilitation Facility in Goodyear, AZ

Active since February 24, 2021
17496 W ELAINE DR, GOODYEAR, AZ 85338(602) 628-6708 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 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 1598359184) is a healthcare organization registered as a substance abuse rehabilitation facility in Goodyear, Arizona and active in the NPI registry since February 2021. The organization lists Lucas Olatunde, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598359184
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
Location Address17496 W ELAINE DRGoodyear, AZ 85338-1981
Mailing Address17496 W Elaine DrGoodyear, AZ 85338-1981
Phone(602) 628-6708
Organization SubpartNo
Authorized OfficialLucas OlatundeCeo · (602) 628-6708
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1598359184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
17496 W ELAINE DR, Goodyear, AZ 85338
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Other Providers at the Same Location NPPES 2

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

SPELIZ HEALTHCARE LLC
Community Based Residential Treatment Facility, Mental Illness
17496 W ELAINE DR
GOODYEAR, AZ 85338
Maricopa County (917) 388-6134
MR. PHILIP RHANIS AJUESHI
Community Based Residential Treatment Facility, Mental Illness
17496 W ELAINE DR
GOODYEAR, AZ 85338
Maricopa County (917) 388-6134

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 1598359184. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Divine Assurance Behavioral Health Residentail Care LLC located?

Divine Assurance Behavioral Health Residentail Care LLC is located at 17496 W Elaine Dr, Goodyear, AZ 85338. The listed phone number is (602) 628-6708.

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 February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.