Diversity Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21984 Issued in MN

Legal business name

DIVERSITY HOME HEALTH CARE, INC.

Practice address

565 University Ave W
Suite 213
Saint Paul, MN 55103-1960

Phone

(651) 224-2201

Fax

(651) 224-0881

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dia Moua Khang

Title

President

Phone

(651) 224-2201

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063578417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 UNIVERSITY AVE W",
            "address_2": "SUITE 213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031960",
            "telephone_number": "651-224-2201",
            "fax_number": "651-224-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNIVERSITY AVE W",
            "address_2": "SUITE 213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031960",
            "telephone_number": "651-224-2201",
            "fax_number": "651-224-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHANG",
        "authorized_official_first_name": "DIA",
        "authorized_official_middle_name": "MOUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-224-2201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "21984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4989000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4999999",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163775",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Ditmanson, M.D.
• Philip M Ditmanson, MD
• Susan J Ditmanson, MD
• Anna Dittmann
• Alison Dittmer Flemig, MD
• Divine Health and Counseling Services
• Divine Health LLC
• Divine Healthcare Corporation
• Divine Providence Homes LLC
• Colby Adams Dixon, M.D.

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.