Active NPI
Divine Guardian Health Association
- Case Manager/Care Coordinator
- Edison, NJ
National Provider Identifier
1114622099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- DIVINE GUARDIAN HEALTH ASSOCIATION
- Practice address
- 6 Kilmer Rd # 1328
Edison, NJ 08817-2432 - Phone
- (973) 847-3006
- NPI assigned
- Mar 31, 2023
- 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
- Jodian Walters
- Title
- Ceo
- Phone
- (973) 847-3006
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
6 Kilmer Rd # 1328
Edison, NJ 08817-2432
Mailing address
6 Kilmer Rd # 1328
Edison, NJ 08817-2432
Phone (973) 847-3006
National Provider Directory
National Provider DirectoryLocations
6 Kilmer Rd
#1328
Edison, NJ 08817
Phone (973) 847-3006
485C US Highway 1 S
Ste 10024
Iselin, NJ 08830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774742400000",
"number": "1114622099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 KILMER RD # 1328",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172432",
"telephone_number": "973-847-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 KILMER RD # 1328",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172432",
"telephone_number": "973-847-3006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE GUARDIAN HEALTH ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "JODIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-847-3006"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.