Diversified Recreational Resources LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

339175 Issued in PA

Legal business name

DIVERSIFIED RECREATIONAL RESOURCES LLC

Practice address

9200 Old Bustleton Ave
D207
Phila, PA 19115-4642

Phone

(215) 673-2778

Fax

(215) 673-3451

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rasheen Beard

Title

Manager

Phone

(215) 673-2778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407889603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191495923",
            "telephone_number": "215-673-2778",
            "fax_number": "215-673-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 OLD BUSTLETON AVE",
            "address_2": "D207",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191154642",
            "telephone_number": "215-673-2778",
            "fax_number": "215-673-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED RECREATIONAL RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "RASHEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-673-2778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "339175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Phila, PA
• Providers in Phila, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.