Active NPI
Diverse Health Services LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1720300346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.