Organization Active NPI

Diverse DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Hialeah Gardens, FL
National Provider Identifier
1063265890
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVERSE DME LLC
Practice address
8040 NW 95TH St Ste 227
Hialeah Gardens, FL 33016-2361
Phone
(786) 797-0300
NPI assigned
Apr 10, 2024
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Leysi Mercedes Casanova
Title
President
Phone
(786) 797-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

8040 NW 95TH St Ste 227
Hialeah Gardens, FL 33016-2361

Mailing address

8040 NW 95TH St Ste 227
Hialeah Gardens, FL 33016-2361
Phone (786) 797-0300

National Provider Directory

National Provider Directory

Locations

8040 NW 95th St
Ste 227
Hialeah Gardens, FL 33016
Phone (786) 797-0300

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1063265890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST STE 227",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162361",
            "telephone_number": "786-797-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST STE 227",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162361",
            "telephone_number": "786-797-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "LEYSI",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-797-0300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.