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DIVINE LIGHT CARE HOME LLC
NPI 1861260119
Assisted Living Facility in La Mesa, CA

Active since December 15, 2023
5105 BANCROFT DR, LA MESA, CA 91941(619) 769-4545 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Light Care Home Llc NPPES

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

DIVINE LIGHT CARE HOME LLC (NPI 1861260119) is a healthcare organization registered as an assisted living facility in La Mesa, California and active in the NPI registry since December 2023. The organization lists Rogelio Diaz, Licensee, as its authorized official.

NPPES Registry Identity

NPI1861260119
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIVINE LIGHT CARE HOME LLC
Location Address5105 BANCROFT DRLa Mesa, CA 91941-4204
Mailing Address5105 Bancroft DrLa Mesa, CA 91941-4204 · (619) 769-4545
Phone(619) 769-4545
Organization SubpartNo
Authorized OfficialRogelio DiazLicensee · (619) 769-4545
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1861260119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

5105 BANCROFT DR, La Mesa, CA 91941
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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 Light Care Home LLC's NPI number?

The NPI number for Divine Light Care Home LLC is 1861260119. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Divine Light Care Home LLC located?

Divine Light Care Home LLC is located at 5105 Bancroft Dr, La Mesa, CA 91941. The listed phone number is (619) 769-4545.

What is Divine Light Care 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 Light Care Home LLC was last updated on December 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.