Diversified Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVERSIFIED COMMUNITY SERVICES, INC.

Practice address

479 Seymour Ave
Columbus, OH 43205-2566

Phone

(614) 252-8688

Fax

(614) 252-6787

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Fred Howard Borger

Title

President

Phone

(614) 252-8688

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Diversified Community Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Diversified Community Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1568635928
  NPD tax ID
• Diversified Community Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1912961996
  NPD tax ID

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1104056977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 SEYMOUR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052566",
            "telephone_number": "614-252-8688",
            "fax_number": "614-252-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SEYMOUR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052566",
            "telephone_number": "614-252-8688",
            "fax_number": "614-252-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BORGER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-252-8688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACIS UPI",
            "identifier": "12656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.