Diverge Health Aco of Ohio LLC
Organization Active NPI Case Management Agency · Glencoe, IL
NPI 1295513240 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1295513240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- DIVERGE HEALTH ACO OF OHIO LLC
- Practice address
- 500 Adams Ave
Glencoe, IL 60022-1865 - Phone
- (941) 718-9000
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Vincent Pantone
- Title
- Cmo
- Phone
- (941) 718-9000
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Diverge Health Aco of Ohio LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
500 Adams Ave
Glencoe, IL 60022-1865
Mailing address
500 Adams Ave
Glencoe, IL 60022-1865
Phone (941) 718-9000
Other providers in Glencoe, IL
- Conviser Group PLLC
- Jenny H Conviser
- Nancy J Davis
- Dental Associates, LLC
- Diverge Health Aco of Northern Illinois
- Diverge Health Aco of Southeast Michigan
- Diverge Health Ipa of Ny LLC
- Diverge Health, Inc.
- Anne Rousseau Douglas
- Doyle Opticians of Glencoe Inc
All providers in Glencoe, IL · Case Management Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.