Active NPI
Devine Destiny Assisted Living
- Assisted Living Facility
- Goodyear, AZ
National Provider Identifier
1073844031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL7558H
- Legal business name
- DEVINE DESTINY ASSISTED LIVING
- Practice address
- 16427 W Watkins St
Goodyear, AZ 85338-9713 - Phone
- (623) 882-8144
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Ohanian
- Title
- Owner
- Phone
- (623) 693-4750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL7558H | AZ | Primary |
Addresses
Primary practice location
16427 W Watkins St
Goodyear, AZ 85338-9713
Mailing address
16427 W Watkins St
Goodyear, AZ 85338-9713
Phone (623) 882-8144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1073844031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16427 W WATKINS ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389713",
"telephone_number": "623-882-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16427 W WATKINS ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389713",
"telephone_number": "623-882-8144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVINE DESTINY ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "OHANIAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-693-4750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL7558H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.