Diversified Health Management, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

52-640127 Issued in OH

Legal business name

DIVERSIFIED HEALTH MANAGEMENT, INC.

Practice address

2691 E Main St Ste Be25
Bexley, OH 43209-2535

Phone

(614) 338-8888

Fax

(614) 338-8030

NPI assigned

May 10, 2007

Last updated

Mar 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex S Phommasathit

Title

Executive Administrator

Phone

(614) 338-8888

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DHM Agency Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083829501. Details of each certification follow.

• CCN 368276 Home health agency · Active · Details

Home health agency certification: CCN 368276

Legal name

DIVERSIFIED HEALTH MANAGEMENT, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 3, 2009

Last certification

Dec 3, 2009

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2691 E Main St
Ste Be25
Bexley, OH 43209-2535

Listed as

Diversified Health Management, Inc.CCN 368276 · All quality measures

Ownership

Proprietary

Certified

Dec 3, 2009

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 2

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

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1083829501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 REFUGEE RD.",
            "address_2": "SUITE C.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43232",
            "telephone_number": "614-338-8888",
            "fax_number": "614-338-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 E MAIN ST STE BE25",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092535",
            "telephone_number": "614-338-8888",
            "fax_number": "614-338-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "PHOMMASATHIT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-338-8888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "52-640127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1047625",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHM Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DHM Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Bexley, OH
• Providers in Bexley, 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 Mar 24, 2026; 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.