Divine Grace Homecare LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DIVINE GRACE HOMECARE LLC

Practice address

4300 Trenton Dr
Bismarck, ND 58503-1167

Phone

(701) 498-2432

NPI assigned

Sep 25, 2025

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bendu Johnson

Title

Ceo

Phone

(701) 498-2432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1235002429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TRENTON DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031167",
            "telephone_number": "701-498-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TRENTON DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031167",
            "telephone_number": "701-498-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BENDU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-498-2432"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.