Diversified Living Home Care Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3398 Issued in NC

Legal business name

DIVERSIFIED LIVING HOME CARE AGENCY INC.

Practice address

203 Wildwood Dr
Raeford, NC 28376-8323

Phone

(910) 875-8865

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Mrs. Stephanie Sheree Scott

Title

Director

Phone

(910) 848-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144349507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WILDWOOD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768323",
            "telephone_number": "910-875-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WILDWOOD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768323",
            "telephone_number": "910-875-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED LIVING HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-848-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.