OrganizationActive
Divine Living Alf Inc
NPI 1003254053 · Assisted Living Facility · Palm Bay, FL
Provider details
- NPI number
- 1003254053
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nadji Williams, Administrator(321) 622-4615
- License
- 12360 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
471 Neptune Dr Ne
Palm Bay, FL 32907-1508
Phone: (321) 622-4615
Street-level locationGet directions
Mailing address
4630 Decatur Cir
Melbourne, FL 32934-7290
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2013-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.