Diversity Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIVERSITY HEALTHCARE LLC

Doing business as

Redemption Center

Practice address

11502 Riverview Rd
Fort Washington, MD 20744-5960

Phone

(202) 390-7105

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Osazee Osagie

Title

Ceo

Phone

(332) 330-3903

Specialties & licenses 1

Addresses

Other names 1

• REDEMPTION CENTER Doing business as

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1316770597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 FALLS RD # 114-238",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 RIVERVIEW RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445960",
            "telephone_number": "202-390-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "OSAGIE",
        "authorized_official_first_name": "OSAZEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "332-330-3903"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDEMPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REDEMPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.