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DIVINE HEALTHCARE SERVICES,INC
NPI 1336348853
Community/Behavioral Health in Inglewood, CA

Active since July 13, 2007CLIA 05D2279140 · Waiver
405 W MANCHESTER BLVD, SUITE A, INGLEWOOD, CA 90301(310) 672-3820 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Healthcare Services,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE HEALTHCARE SERVICES,INC (NPI 1336348853) is a healthcare organization registered as a community/behavioral health in Inglewood, California and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Benneth Ifeanyichukwu Okorie, Program Director, as its authorized official.

NPPES Registry Identity

NPI1336348853
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIVINE HEALTHCARE SERVICES,INC
Location Address405 W MANCHESTER BLVD, SUITE AInglewood, CA 90301-1196
Mailing Address405 W Manchester Blvd, Suite AInglewood, CA 90301-1196 · (310) 672-3820
Phone(310) 672-3820
Organization SubpartNo
Authorized OfficialBenneth Ifeanyichukwu OkorieProgram Director · (310) 227-3940
Enumeration DateJuly 13, 2007
✔ NPI 1336348853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
405 W MANCHESTER BLVD, Inglewood, CA 90301
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2279140

Divine Healthcare Services, Inc. · Inglewood, CA
Active · expires Mar 28, 2027
CLIA Number05D2279140
Laboratory TypeDrug Treatment Program
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorSiamak Marzban
Laboratory Phone(310) 672-3820
Laboratory LocationDivine Healthcare Services, Inc.405 W Manchester Blvd., Suite A, Inglewood, CA 90301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARELY DE LA CRUZ
Counselor (Addiction (Substance Use Disorder))
405 W MANCHESTER BLVD, SUITE A
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3820
JASMIN RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
405 W MANCHESTER BLVD, SUITE A
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3820
ALTERNATIVE SOLUTIONS MENTAL WELLNESS
Social Worker (Clinical)
405 W MANCHESTER BLVD, UNIT #4
INGLEWOOD, CA 90301
Los Angeles County (310) 671-1444
LAURENCE YOUNG PRE DOC
Counselor (Mental Health)
405 W MANCHESTER BLVD, # 4
INGLEWOOD, CA 90301
Los Angeles County (310) 671-1447
MR. BENNETH I OKORIE
Counselor (Addiction (Substance Use Disorder))
405 W MANCHESTER BLVD, SUITE A
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3820
MIRELLA AMAYA
Counselor (Addiction (Substance Use Disorder))
405 W MANCHESTER BLVD, SUITE A
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Healthcare Services,inc's NPI number?

The NPI number for Divine Healthcare Services,inc is 1336348853. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Divine Healthcare Services,inc located?

Divine Healthcare Services,inc is located at 405 W Manchester Blvd Suite A, Inglewood, CA 90301. The listed phone number is (310) 672-3820.

What is Divine Healthcare Services,inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Divine Healthcare Services,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2279140) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Healthcare Services,inc was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.