Diverse Disability Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVERSE DISABILITY SERVICES LLC

Practice address

2274 County Road E W
New Brighton, MN 55112-7141

Phone

(651) 434-0500

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hodo Faysal Osman

Title

Owner Partner

Phone

(651) 434-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1447876420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 COUNTY ROAD E W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 COUNTY ROAD E W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127141",
            "telephone_number": "651-434-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE DISABILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "HODO",
        "authorized_official_middle_name": "FAYSAL",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "651-434-0500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Alan Decambaliza
• Amanda Dekanick
• Kathrynne Delgado, MS, MA, LMFT
• Marsha Dettloff
• Dialysis Access of Minnesota, L.L.C.
• Kathy Ann Dixon, LPC
• Wade Dorcas
• Dr My Pang Kou Vang DDS, PLLC
• Christine Dresel
• Rodger James Droel, D.D.S., M.S.D.

• Home Health Agency in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.