Organization Active NPI

Diverse Health Services LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1720300346
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVERSE HEALTH SERVICES LLC
Practice address
4200 Union Blvd
Suite 110
Saint Louis, MO 63115-1227
Phone
(314) 667-5951
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Lavincent Hooker
Title
Owner
Phone
(314) 667-5951

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4200 Union Blvd
Suite 110
Saint Louis, MO 63115-1227

Mailing address

3620 N Spring Ave
Saint Louis, MO 63107-2220
Phone (314) 667-5951

National Provider Directory

National Provider Directory

Locations

3620 N Spring Ave
Saint Louis, MO 63107

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1720300346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N SPRING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631072220",
            "telephone_number": "314-667-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 UNION BLVD",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151227",
            "telephone_number": "314-667-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "LAVINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-667-5951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.