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DIVINE ADULT DAY HEALTH CARE
NPI 1447717574
Clinic/Center - Adult Day Care in Van Nuys, CA

Active since February 25, 2019CLIA 05D2196675 · Waiver
6650 VAN NUYS BLVD, VAN NUYS, CA 91405(747) 250-7305(747) 208-2750 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Adult Day Health Care NPPES

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

DIVINE ADULT DAY HEALTH CARE (NPI 1447717574) is a healthcare organization registered as an adult day care in Van Nuys, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Hakop Jack Zakaryan, President, as its authorized official.

NPPES Registry Identity

NPI1447717574
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameDIVINE ADULT DAY HEALTH CARE
Location Address6650 VAN NUYS BLVDVan Nuys, CA 91405-4617
Mailing Address6650 Van Nuys BlvdVan Nuys, CA 91405-4617 · (747) 250-7305 · Fax (747) 208-2750
Phone(747) 250-7305
Fax(747) 208-2750
Organization SubpartNo
Authorized OfficialHakop Jack ZakaryanPresident · (747) 250-7305
Enumeration DateFebruary 25, 2019
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1447717574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
6650 VAN NUYS BLVD, Van Nuys, CA 91405
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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 05D2196675

Divine Adult Day Health Care Center · Van Nuys, CA
Active · expires Oct 18, 2026
CLIA Number05D2196675
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorShenouda Sameh
Laboratory Phone(747) 250-7305
Laboratory LocationDivine Adult Day Health Care Center6650 Van Nuys Boulevard, Van Nuys, CA 91405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Adult Day Health Care's NPI number?

The NPI number for Divine Adult Day Health Care is 1447717574. It was assigned to this organization in the NPPES registry on February 25, 2019.

Where is Divine Adult Day Health Care located?

Divine Adult Day Health Care is located at 6650 Van Nuys Blvd, Van Nuys, CA 91405. The listed phone number is (747) 250-7305.

What is Divine Adult Day Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Divine Adult Day Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2196675) is associated with this NPI, valid through October 18, 2026. 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 Adult Day Health Care was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.