Organization Active NPI

Divinity Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1174766224
Registry record updated Apr 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINITY HOME HEALTH CARE, INC.
Practice address
4430 Santa Monica Blvd
Suite 101
Los Angeles, CA 90029-2014
Phone
(323) 515-3727
Fax
(323) 515-3722
NPI assigned
Apr 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2009

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

Authorized official

Name
Mr. Vahe Manukyan
Title
President/Ceo
Phone
(323) 515-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4430 Santa Monica Blvd
Suite 101
Los Angeles, CA 90029-2014

Mailing address

4430 Santa Monica Blvd
Suite 101
Los Angeles, CA 90029-2014
Phone (323) 515-3727

National Provider Directory

National Provider Directory

Locations

4430 Santa Monica Blvd
Ste 101
Los Angeles, CA 90029
Phone (323) 515-3727

NPI Registry JSON

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240012800000",
    "number": "1174766224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 SANTA MONICA BLVD",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292014",
            "telephone_number": "323-515-3727",
            "fax_number": "323-515-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 SANTA MONICA BLVD",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292014",
            "telephone_number": "323-515-3727",
            "fax_number": "323-515-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-18",
        "last_updated": "2009-04-18",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-515-3727",
        "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 Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2009; 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.