Diversified Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA201501 Issued in NE

Legal business name

DIVERSIFIED HEALTHCARE INC.

Practice address

5332 S 138TH St Ste 100
Omaha, NE 68137-2945

Phone

(402) 392-1818

Fax

(402) 392-0167

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Paula Stapleton

Title

Owner, Administrator, DHCS

Phone

(402) 392-1818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Interim HealthCare of Omaha Doing business as

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1104295609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 S 138TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372945",
            "telephone_number": "402-392-1818",
            "fax_number": "402-392-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 S 138TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372945",
            "telephone_number": "402-392-1818",
            "fax_number": "402-392-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR, DHCS",
        "authorized_official_telephone_number": "402-392-1818"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "HHA201501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679502397",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "287027",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Dittman, PLMHP
• Karen I Dittmer-McMahon, PHD
• Kerri Dittrich
• George William Dittrick, M.D.
• Cheila Marie Ditzler, APRN
• Diversified Healthcare, Inc.
• Diversified Mobile PT LLC
• Suzanne Divett, CHORE PROVIDER
• Divine Angels Healthcare LLC
• Divine Angels Home Health LLC

• Home Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.