Organization Active NPI

Divine Grace Home Health Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1588063077
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001019 Issued in CA
Legal business name
DIVINE GRACE HOME HEALTH INC
Practice address
127 S Brand Blvd Ste 340
Glendale, CA 91204-5104
Phone
(818) 956-5872
Fax
(818) 956-5314
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mr. Syed Aftab Husain
Title
Owner
Phone
(818) 956-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001019 CA Primary

Addresses

Primary practice location

127 S Brand Blvd Ste 340
Glendale, CA 91204-5104

Mailing address

127 S Brand Blvd Ste 340
Glendale, CA 91204-5104
Phone (818) 956-5872

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 340
Glendale, CA 91204
Phone (818) 956-5872

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1588063077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912045104",
            "telephone_number": "818-956-5872",
            "fax_number": "818-956-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912045104",
            "telephone_number": "818-956-5872",
            "fax_number": "818-956-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AFTAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-956-5872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.