Active NPI
Divine Adult Day Health Care
- Adult Day Care Clinic/Center
- Van Nuys, CA
National Provider Identifier
1447717574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- DIVINE ADULT DAY HEALTH CARE
- Practice address
- 6650 Van Nuys Blvd
Van Nuys, CA 91405-4617 - Phone
- (747) 250-7305
- Fax
- (747) 208-2750
- NPI assigned
- Feb 25, 2019
- 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
- Hakop Jack Zakaryan
- Title
- President
- Phone
- (747) 250-7305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
6650 Van Nuys Blvd
Van Nuys, CA 91405-4617
Mailing address
6650 Van Nuys Blvd
Van Nuys, CA 91405-4617
Phone (747) 250-7305
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2196675 | Divine Adult Day Health Care Center | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
6650 Van Nuys Blvd
Van Nuys, CA 91405
Phone (747) 250-7305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1447717574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 VAN NUYS BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054617",
"telephone_number": "747-250-7305",
"fax_number": "747-208-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 VAN NUYS BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054617",
"telephone_number": "747-250-7305",
"fax_number": "747-208-2750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE ADULT DAY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-25",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "ZAKARYAN",
"authorized_official_first_name": "HAKOP",
"authorized_official_middle_name": "JACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "747-250-7305"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.