# DIVINE MERCY HOME HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497152144
- **Authorized official:** RUBINA SHAKHBAZIAN RN (OWNER, CEO, CFO)
- **Authorized official phone:** (818) 551-0079

## Contact information

- **Practice address:** 805 E. BROADWAY NO. A&H, GLENDALE, CA 91205
- **Practice address phone:** (818) 551-0079
- **Practice address fax:** (818) 551-0097
- **Mailing address:** 805 E. BROADWAY NO. A&H, GLENDALE, CA 91205
- **Mailing address phone:** (818) 551-0079
- **Mailing address fax:** (818) 551-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2014
- **Last updated:** 02/22/2024