Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divine Grace Residential Care LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1366148421

Divine Grace Residential Care LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4120 N 105th Ln
Phoenix, AZ 85037-5843
Phone: (623) 272-0428
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1366148421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sabestine Onyepunuka — Assistant Administrator · (623) 512-1675
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateJanuary 31, 2023
Mailing address930 E Dee St, Avondale, AZ 85323-2777

Other providers in Phoenix