Diverse Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2494835-2 Issued in MN

Legal business name

DIVERSE HOME HEALTH CARE

Practice address

3019 Minnehaha Ave Ste 10
Minneapolis, MN 55406-3099

Phone

(612) 724-3194

Fax

(612) 729-5224

NPI assigned

Dec 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Adan Issa Mohamed

Title

Operation Supervisor

Phone

(612) 724-3194

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1508002601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 MINNEHAHA AVE STE 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063099",
            "telephone_number": "612-724-3194",
            "fax_number": "612-729-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MINNEHAHA AVE STE 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063099",
            "telephone_number": "612-724-3194",
            "fax_number": "612-729-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-20",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ADAN",
        "authorized_official_middle_name": "ISSA",
        "authorized_official_title_or_position": "OPERATION SUPERVISOR",
        "authorized_official_telephone_number": "612-724-3194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "2494835-2",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Disomma, MD
• Kristin Marit Disori, M.D.
• Ruwan R Dissanayake, MD
• Joan Eve Distler
• Divergent Path Therapy PLLC
• Diverse Mental Health Response LLC
• Diversified Home Care Inc
• Diversity Union Group Home Limited Liability Company
• Carmen N Divertie, MD
• Alan Divine, M.D.

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Dec 20, 2008; 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.