Organization
DIVERSE HOME CARE SERVICES INC
Active
Organization
DIVERSE HOME CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYSI MERCEDES CASANOVA (ADMINISTRATOR)
(786) 797-0300
Entity
Organization
Contact information
Practice address
8040 NW 95TH ST STE 226, HIALEAH GARDENS, FL 33016-2361
(786) 773-5112
(305) 675-2443
Mailing address
8040 NW 95TH ST STE 226, HIALEAH GARDENS, FL 33016-2361
(786) 773-5112
(305) 675-2443
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/18/2015
Last updated
07/27/2022
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