DIVINE GROUP HOME LLC
NPI 1972266955
Community/Behavioral Health in Maricopa, AZ

Active since October 18, 2021
40352 W MOLLY LN # A, MARICOPA, AZ 85138(480) 939-0573 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Group Home Llc NPPES

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

DIVINE GROUP HOME LLC (NPI 1972266955) is a healthcare organization registered as a community/behavioral health in Maricopa, Arizona and active in the NPI registry since October 2021. The organization lists Divine Kusi, Admin, as its authorized official.

NPPES Registry Identity

NPI1972266955
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIVINE GROUP HOME LLC
Location Address40352 W MOLLY LN # AMaricopa, AZ 85138-5158
Mailing Address40352 W Molly LnMaricopa, AZ 85138-5158 · (480) 939-0573
Organization SubpartNo
Authorized OfficialDivine KusiAdmin · (480) 939-0573
Enumeration DateOctober 18, 2021
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1972266955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
40352 W MOLLY LN # A, Maricopa, AZ 85138

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 Group Home LLC's NPI number?

The NPI number for Divine Group Home LLC is 1972266955. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Divine Group Home LLC located?

Divine Group Home LLC is located at 40352 W Molly Ln # A, Maricopa, AZ 85138. The listed phone number is (480) 939-0573.

What is Divine Group Home LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Divine Group Home LLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.