DEVINE DESTINY ASSISTED LIVING (NPI# 1073844031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073844031 |
| Entity Type | Organization |
| Organization Name | DEVINE DESTINY ASSISTED LIVING |
| Practice Address |
16427 W Watkins St Goodyear AZ 85338-9713 |
| Practice Telephone | 6238828144 |
| Mailing Telephone | 6238828144 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MR. DAVID OHANIAN (OWNER) |
| Authorized Official Telephone | 6236934750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL7558H | AZ | Nursing & Custodial Care Facilities |
| Street Address |
16427 W WATKINS ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887545 | Sisters Helping Hands Family Care, LLC | Assisted Living Facility | 15655 W Campbell Ave, Goodyear, AZ 85395-6378 | 2019-02-11 |
| 1497239446 | Under Angel Wings Care Home L.l.c | Assisted Living Facility | 18468 W Monterosa St, Goodyear, AZ 85395-6457 | 2018-09-15 |
| 1215427885 | Pathways Assisted Living & Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy # 789, Goodyear, AZ 85395-9016 | 2018-05-18 |
| 1336642768 | Camelia Dragomir and Andrei Ionut Danila Dba Goodyear Assisted Living | Assisted Living Facility | 14808 W Amelia Ave, Goodyear, AZ 85395-8205 | 2018-03-12 |
| 1508375098 | Amazing Care Assisted Living, LLC | Assisted Living Facility | 16345 W Roosevelt St, Goodyear, AZ 85338-6265 | 2017-09-27 |
| 1689035206 | Harmoni Care Assisted Living LLC | Assisted Living Facility | 16006 W Bartlett Ave, Goodyear, AZ 85338-9471 | 2016-03-09 |
| 1922472661 | Pathways Assisted Living & Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy, Bldg 5, Goodyear, AZ 85395-9016 | 2015-11-18 |
| 1164806105 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N. Pebble Creek Pkwy Bldg 2, Goodyear, AZ 85395 | 2015-07-18 |
| 1457735110 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 3, Goodyear, AZ 85395-9016 | 2015-07-13 |
| 1548648660 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 4, Goodyear, AZ 85395-9016 | 2015-05-08 |
| Find all providers in GOODYEAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.