Divine Care Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE CARE FAMILY SERVICES LLC

Practice address

14804 N Cave Creek Rd Ste 105
Phoenix, AZ 85032-4945

Phone

(702) 689-0133

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Lee Owens

Title

Managing Member

Phone

(702) 689-0133

Specialties & licenses 1

Addresses

Tax ID family

Divine Care Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moments N Memories Banquet Hall LLC.

  dba Divine care Family Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1548724099
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Lee

  • Contractor
  • North Las Vegas, NV
  • NPI 1376967505
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1821675612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14804 N CAVE CREEK RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324945",
            "telephone_number": "702-689-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 N CAVE CREEK RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324945",
            "telephone_number": "702-689-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "LEE OWENS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-689-0133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Diver, CNM
• Divergent Collective, Inc.
• Caitlin Kelsey Divers, ATC
• Diverse Ability Incorporated
• Divine Anesthesia Care LLC
• Divine Crystal Care
• Divine Embrace Residential Homes
• Divine Favour Health Services LLC
• Divine Grace Residential Care LLC
• Divine Heart LLC (Divine Heart Behavioral Center)

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.