Social Diversity LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOCIAL DIVERSITY LLC

Practice address

12001 SW 128TH CT Ste 101
Miami, FL 33186-4665

Phone

(786) 975-7485

Fax

(954) 860-7166

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Esel Aguilar, OWNER/TCM SUPERVISORNPI 1174760458

Title

Ceo

Phone

(786) 975-7485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUNISS UP Doing business as

Tax ID family

Social Diversity LLC3 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.

• Social Diversity LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1245863448
  NPD tax ID
• Social Diversity LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1821705153
  NPD tax ID

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esel Aguilar, CBHCMS/FMD/BS

  • Social Worker
  • Miami, FL
  • NPI 1174760458
  NPD (past) Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667606400000",
    "number": "1609540681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 19TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335265",
            "telephone_number": "786-975-7485",
            "fax_number": "954-860-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "786-975-7485",
            "fax_number": "954-860-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL DIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ESEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-975-7485",
        "authorized_official_credential": "OWNER/TCM SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "91",
            "identifier": "108167300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNISS UP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUNISS UP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ari Jay Socher, DMD
• Nisa Sochin, RPH
• Social Consulting LLC
• Social Days Adult Center, LLC
• Social Diversity LLC
• Social Diversity LLC
• Social Integrity Adult Day Care, LLC.
• Social Integrity Home Health Corp
• Social Integrity Mental Health Corp
• Social Medical Center Inc

• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.