Diversity Home Care LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

DIVERSITY HOME CARE LLC

Practice address

4200 Coquina Winds Way
Greenacres, FL 33463-3415

Phone

(561) 634-6399

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Rebecca Gervais

Title

Owner

Phone

(561) 634-6399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1083378178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COQUINA WINDS WAY",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633415",
            "telephone_number": "561-634-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 COQUINA WINDS WAY",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633415",
            "telephone_number": "561-634-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "GERVAIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-634-6399"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo D Diaz
• Paula T Diaz, MA
• Sandra Lissa Dibello, ARNP
• Esther Dieujuste
• Jeannette Elena Dipento, LCSW
• Divine Home Health Care
• Divine Trucare LLC
• DJP Vip Enterprises LLC
• Dai DO, PHARMACIST
• Mayelin Dominguez

• All providers in Greenacres, FL
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.