Diverse Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVERSE HOME CARE

Practice address

700 Bryden Rd # 121
Columbus, OH 43215

Phone

(614) 222-0899

Fax

(614) 222-0899

NPI assigned

Feb 4, 2012

Organization subpart

No

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

Authorized official

Name

Guure F Issa, ADMINISTRATOR

Title

Administrator

Phone

(614) 222-0899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369001

Legal name

DIVERSE HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 5, 2013

Last certification

Feb 21, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 30, 2012 in OH

Enrollment address

700 Bryden Rd
#121
Columbus, OH 43215-4839
HHA Branch

Listed as

Diverse Home Care LLCCCN 369001

Ownership

Proprietary

Certified

Jun 5, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Kenneth Lanell Gilbert Jr.

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1245078591

  Home Health

  NPD (past)

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1053683169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BRYDEN RD # 121",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154839",
            "telephone_number": "614-222-0899",
            "fax_number": "614-222-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRYDEN RD # 121",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-222-0899",
            "fax_number": "614-222-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "GUURE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-222-0899",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dittmer
• Makyah Lee Dittoe, CRNA
• Leo Fernando Ditzel Filho, M.D.
• Connor Divens, DO
• Diverse Healthcare Services
• Diversified Community Services, Inc.
• Diversified Community Services, Inc.
• Diversified Community Services, Inc.
• Diversified Home Health Services, Inc.
• Diversified Home Medicals, Inc.

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.