Organization Active NPI

Diversity Support Care LLC

  • Home Health Aide
  • Cuyahoga Falls, OH
National Provider Identifier
1356013130
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DIVERSITY SUPPORT CARE LLC
Practice address
2680 N Haven Blvd
Cuyahoga Falls, OH 44223-2124
Phone
(330) 794-5716
NPI assigned
Sep 30, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Miss Tina Denise Miles
Title
Ceo
Phone
(330) 794-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

2680 N Haven Blvd
Cuyahoga Falls, OH 44223-2124

Mailing address

2680 N Haven Blvd
Cuyahoga Falls, OH 44223-2124
Phone (330) 794-5716

National Provider Directory

National Provider Directory
Tax ID family
Diversity Support Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

675 W Exchange St
Akron, OH 44302

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1356013130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 N HAVEN BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232124",
            "telephone_number": "330-794-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 N HAVEN BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232124",
            "telephone_number": "330-794-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY SUPPORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-794-5716",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.