Organization Active NPI

Diverse Ability Support LLC

  • Home Health Agency
  • Laurel, MD
National Provider Identifier
1134090509
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVERSE ABILITY SUPPORT LLC
Practice address
3339 Watershed Blvd
Laurel, MD 20724-1324
Phone
(770) 906-2322
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Hasiyatou Sali
Title
Ceo
Phone
(770) 906-2322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3339 Watershed Blvd
Laurel, MD 20724-1324

Mailing address

3339 Watershed Blvd
Laurel, MD 20724-1324
Phone (770) 906-2322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1134090509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 WATERSHED BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241324",
            "telephone_number": "770-906-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 WATERSHED BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241324",
            "telephone_number": "770-906-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE ABILITY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "SALI",
        "authorized_official_first_name": "HASIYATOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-906-2322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.