Organization Active NPI

Divine Grace Home Health Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1073798310
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE GRACE HOME HEALTH INC.
Practice address
512 E Wilson Ave
Suite 401
Glendale, CA 91206-4351
Phone
(818) 956-5872
Fax
(818) 956-5314
NPI assigned
Jan 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Mr. Syed Aftab Husain
Title
Ceo(President)
Phone
(818) 956-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

512 E Wilson Ave
Suite 401
Glendale, CA 91206-4351

Mailing address

512 E Wilson Ave
Suite 401
Glendale, CA 91206-4351
Phone (818) 956-5872

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Grace Home Health, IncCCN 059264
Ownership
Proprietary
Certified
Dec 8, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
05D1087116Divine Grace Home Health Inc512 E Wilson Ave, Glendale, CA 91206Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory

Locations

512 E Wilson Ave
Ste 401
Glendale, CA 91206
Phone (818) 956-5872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1073798310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE",
            "address_2": "SUITE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "818-956-5872",
            "fax_number": "818-956-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE",
            "address_2": "SUITE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "818-956-5872",
            "fax_number": "818-956-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AFTAB",
        "authorized_official_title_or_position": "CEO(PRESIDENT)",
        "authorized_official_telephone_number": "818-956-5872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.