Divine Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIVINE HOSPICE SERVICES, INC.

Practice address

3535 Cahuenga Blvd W Ste 204
Los Angeles, CA 90068-1359

Phone

(323) 498-0004

Fax

(323) 498-0060

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Haroutiun Grigoryan

Title

Ceo

Phone

(818) 453-8044

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julio Jacinto Bordas, M.D.

  • Family Medicine Physician
  • Downey, CA
  • NPI 1295834927
  NPD (past)
• Vincent Phuoc Lim, PA-C

  • Physician Assistant
  • Van Nuys, CA
  • NPI 1194148882
  NPD (past)

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1154943041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CAHUENGA BLVD W STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681359",
            "telephone_number": "323-498-0004",
            "fax_number": "323-498-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CAHUENGA BLVD W STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681359",
            "telephone_number": "323-498-0004",
            "fax_number": "323-498-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "HAROUTIUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-453-8044"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Transportation Access, LLC
• Diversified Transportation Access, LLC
• Keith Divinagracia, PT
• Divine Design Health
• Divine Help Medical Group Inc
• Divinity Acupuncture
• Divinity Home Health Care, Inc.
• Alexandra Divinsky, NP
• Jenna Divito
• David O Dix, MD

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.