NPIMap

Organization Active NPI

Divine Care Home Health Services Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1063616563
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE CARE HOME HEALTH SERVICES INC.
Practice address
1716 Erringer Rd Ste 106
Simi Valley, CA 93065-6527
Phone
(805) 578-9481
Fax
(805) 578-9486
NPI assigned
Jun 11, 2007
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mr. Arnold Robledo Bunye, BSN RN
Title
DPCS
Phone
(805) 578-9481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1716 Erringer Rd Ste 106
Simi Valley, CA 93065-6527

Mailing address

1716 Erringer Rd Ste 106
Simi Valley, CA 93065-6527
Phone (818) 332-6150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000038 CA Part A Provider - Home Health Agency 5890743009 Practice locations: Simi Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063616563. Details of each certification follow.

Home health agency certification: CCN 058491

Legal name
DIVINE CARE HOME HEALTH SERVICES,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 22, 2008
Last certification
Nov 17, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 2, 2004 in CA
Enrollment address
1716 Erringer Rd
Ste 106
Simi Valley, CA 93065-6527

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Care Home Health Services IncCCN 058491 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 22, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1065473Divine Care Home Health Services Inc1716 Erringer Rd, Ste 106, Simi Valley, CA 93065Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1716 Erringer Rd
Ste 106
Simi Valley, CA 93065
Phone (805) 578-9481

1985 Yosemite Ave
Ste 140
Simi Valley, CA 93063
Phone (805) 578-9481

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jerome C Viray Individual 5% Or Greater Direct Ownership Interest May 1, 2021 50%
W-2 Managing EmployeeCeo, Board Member Administrator May 1, 2021 50%
Arnold R Bunye Individual 5% Or Greater Direct Ownership InterestCfo,Ceo Director of Nursing May 1, 2021 50%
Corporate OfficerCeo May 1, 2021
Corporate DirectorCfo May 1, 2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1063616563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656527",
            "telephone_number": "818-332-6150",
            "fax_number": "805-578-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656527",
            "telephone_number": "805-578-9481",
            "fax_number": "805-578-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BUNYE",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "ROBLEDO",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "805-578-9481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.