Diversity Home Health Services

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

DIVERSITY HOME HEALTH SERVICES

Practice address

2455 S Howell Ave
Milwaukee, WI 53207-1638

Phone

(414) 810-4675

Fax

(414) 885-0877

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Evaristo Antonio Rodriguez

Title

Administrator

Phone

(414) 422-5317

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1265040711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071638",
            "telephone_number": "414-810-4675",
            "fax_number": "414-885-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071638",
            "telephone_number": "414-810-4675",
            "fax_number": "414-885-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EVARISTO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-422-5317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Dittmer, PHARMD
• Robert A. Diulio, M.D.
• Diverse Care Services LLC
• Diverse Clinical Services Associates, Inc.
• Diversity Home Health
• Divine Care Nursing Services LLC
• Divine Care Services LLC
• Divine Exxpectations
• Divine Grace Adult Family Home LLC
• Divine Healing Home Care Solutions, LLC

• Private Vehicle in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Private Vehicle in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.