Divine Grace Residential Care LLC
NPI 1366148421 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Divine Grace Residential Care LLC is a Mental Illness Community Based Residential Treatment Facility organization in Phoenix, AZ (NPI 1366148421).
Provider details
- NPI number
- 1366148421
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sabestine Onyepunuka, Assistant Administrator(623) 512-1675
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-02-01
- Last updated
- 2023-02-01
- Certified
- 2023-01-31
Frequently asked questions
- What is Divine Grace Residential Care LLC's NPI number?
- Divine Grace Residential Care LLC's National Provider Identifier (NPI) is 1366148421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Grace Residential Care LLC?
- Divine Grace Residential Care LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Divine Grace Residential Care LLC located?
- Divine Grace Residential Care LLC's practice location on file with NPPES is 4120 N 105th Ln, Phoenix, AZ 85037-5843.
- What is Divine Grace Residential Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Grace Residential Care LLC is (623) 272-0428.
- Who is the authorized official for Divine Grace Residential Care LLC?
- The authorized official listed on Divine Grace Residential Care LLC's NPPES record is Sabestine Onyepunuka, Assistant Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Grace Residential Care LLC's NPI active?
- Yes — Divine Grace Residential Care LLC's NPI (1366148421) is active in the NPPES registry as of the last update on 2023-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.