Diversified Community Services, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12656 Issued in OH

Legal business name

DIVERSIFIED COMMUNITY SERVICES, INC.

Practice address

479 Seymour Ave
Columbus, OH 43205-2566

Phone

(614) 252-8688

Fax

(614) 252-6787

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Howard Borger

Title

Chief Operating Officer

Phone

(614) 252-8688

Specialties & licenses 1

Addresses

Tax ID family

Diversified Community Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Diversified Community Services, Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1104056977
  NPD tax ID
• Diversified Community Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1912961996
  NPD tax ID

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1568635928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052118",
            "telephone_number": "614-252-8688",
            "fax_number": "614-252-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SEYMOUR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052566",
            "telephone_number": "614-252-8688",
            "fax_number": "614-252-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BORGER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "614-252-8688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "12656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Fernando Ditzel Filho, M.D.
• Connor Divens, DO
• Diverse Healthcare Services
• Diverse Home Care
• Diversified Community Services, Inc.
• Diversified Community Services, Inc.
• Diversified Home Health Services, Inc.
• Diversified Home Medicals, Inc.
• Diversity Home Health Care, Inc.
• Diversity Home Health Services LLC

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.