Diversified Revenue Solutions, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

DIVERSIFIED REVENUE SOLUTIONS, LLC

Practice address

13921 Lake Mahogany Blvd Apt 2824
Fort Myers, FL 33907-6619

Phone

(239) 565-6308

Fax

(239) 244-8995

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Deborah Acey Heinrich

Title

Owner

Phone

(239) 565-6308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1235924358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 LAKE MAHOGANY BLVD APT 2824",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076619",
            "telephone_number": "239-565-6308",
            "fax_number": "239-244-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 LAKE MAHOGANY BLVD APT 2824",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076619",
            "telephone_number": "239-565-6308",
            "fax_number": "239-244-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED REVENUE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HEINRICH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-565-6308"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.