Organization Active NPI

Divine Lead LLC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1003609876
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE LEAD LLC
Practice address
10201 Glenwood Rd FL 2
Brooklyn, NY 11236-2701
Phone
(862) 600-1549
NPI assigned
May 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olubunmi O Olatunji
Title
RN
Phone
(862) 600-1549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10201 Glenwood Rd FL 2
Brooklyn, NY 11236-2701

Mailing address

10201 Glenwood Road
2ND Floor
Brooklyn, NY 11236
Phone (862) 600-1549

Other names 1

  • Divine lead llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1003609876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 GLENWOOD ROAD",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "862-600-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GLENWOOD RD FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362701",
            "telephone_number": "862-600-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "862-600-1549"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine lead llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.