Organization Active NPI

Divine Haven LLC

  • Adult Care Home Facility
  • Madison, WI
National Provider Identifier
1346115862
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DIVINE HAVEN LLC
Practice address
106 Crystal LN
Madison, WI 53714-2505
Phone
(608) 320-8259
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olayinka Afolabi
Title
Director
Phone
(608) 320-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

106 Crystal LN
Madison, WI 53714-2505

Mailing address

106 Crystal LN
Madison, WI 53714-2505
Phone (608) 320-8259

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1346115862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CRYSTAL LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537142505",
            "telephone_number": "608-320-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CRYSTAL LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537142505",
            "telephone_number": "608-320-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "AFOLABI",
        "authorized_official_first_name": "OLAYINKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-320-8259"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.