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

Shane Hill Divine Opco LLC

Organization Assisted Living Facility · NPI 1629866439

Shane Hill Divine Opco LLC is an Assisted Living Facility in Rockford, Ohio. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10731 State Route 118
Rockford, OH 45882-8947
Phone: (330) 620-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1629866439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Degyansky — Chief Operating Officer · (330) 620-7828
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address5915 Landerbrook Dr Ste 350, Mayfield Heights, OH 44124-4063

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