Diversify Reliable Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DIVERSIFY RELIABLE TRANSPORTATION LLC

Practice address

3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867

Phone

(321) 398-2143

Fax

(321) 802-2302

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Yvette R Winstead-Hampton

Title

Owner/Ceo

Phone

(321) 398-2143

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1740979483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "321-398-2143",
            "fax_number": "321-802-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "321-398-2143",
            "fax_number": "321-802-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFY RELIABLE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD-HAMPTON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "321-398-2143"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Elyse Dievendorf
• Mark C Dillon, MD
• Tram Dinh
• Erika Diogene, D.O.
• Laura L Dion, LCSW
• Divine Living Alf Inc
• Divine Wellness Partners, LLC
• Doctors Gi Partnership LTD
• Tracey Aileen Doherty, CCC-SLP
• Jeanette Donaldson

• Non-emergency Medical Transport (VAN) in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.