Active NPI
Divine Lead LLC
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1003609876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.