Divine Mercy Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE MERCY HOME HEALTHCARE INC

Practice address

805 E. Broadway No. a&H
Glendale, CA 91205

Phone

(818) 551-0079

Fax

(818) 551-0097

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Rubina Shakhbazian, RN

Title

Owner, Ceo, Cfo

Phone

(818) 551-0079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 553105

Legal name

DIVINE MERCY HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 11, 2018

Last certification

Jul 28, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 31, 2014 in CA

Enrollment address

805 E Broadway
# A & H
Glendale, CA 91205-4539
HHA Branch

Listed as

Divine Mercy Home Health Care, IncCCN 553105

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jun 11, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Eric Rodney Hansen, D.O.

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1770562506

  Home health agency

  Care Compare affiliation
• Marina Khachatrian, MD

  • Family Medicine Physician
  • N Hollywood, CA
  • NPI 1487738399

  Home health agency

  Care Compare affiliation
• Narine Boghos Topaldjikian, M.D.

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1659805679

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1497152144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E. BROADWAY NO. A&H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-551-0079",
            "fax_number": "818-551-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E. BROADWAY NO. A&H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-551-0079",
            "fax_number": "818-551-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SHAKHBAZIAN",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER, CEO, CFO",
        "authorized_official_telephone_number": "818-551-0079",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Choice Home Health, Inc.
• Divine Choice Hospice, Inc.
• Divine Grace Home Health Inc
• Divine Grace Home Health Inc.
• Divine Health Hospice Inc.
• Madonna Dizon
• DM Clinical Collaborations
• DM Clinical Collaborations
• DM Clinical Collaborations
• DM Clinical Collaborations

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.