Diverse Support and Consulting Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVERSE SUPPORT AND CONSULTING SERVICES LLC

Practice address

2390 Mill Rd
Mechanicsburg, PA 17055-6081

Phone

(717) 798-3645

Fax

(877) 688-2251

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Monique Bellamy

Title

Owner / President

Phone

(708) 417-8929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1134747330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MILL RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556081",
            "telephone_number": "708-417-8929",
            "fax_number": "844-325-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MILL RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556081",
            "telephone_number": "717-798-3645",
            "fax_number": "877-688-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE SUPPORT AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "708-417-8929"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.