Organization Active NPI

Diverse Home Care Services LLC

  • Home Health Agency
  • Dracut, MA
National Provider Identifier
1760862841
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVERSE HOME CARE SERVICES LLC
Practice address
1734 Lakeview Ave
174
Dracut, MA 01826-6325
Phone
(978) 677-1676
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Ms. Pauline Mwaniki
Title
Ceo
Phone
(978) 677-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1734 Lakeview Ave
174
Dracut, MA 01826-6325

Mailing address

1734 Lakeview Ave
174
Dracut, MA 01826-6325
Phone (978) 677-1676

National Provider Directory

National Provider Directory

Locations

1734 Lakeview Ave
#174
Dracut, MA 01826
Phone (978) 677-1676

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1760862841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 LAKEVIEW AVE",
            "address_2": "174",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266325",
            "telephone_number": "978-677-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 LAKEVIEW AVE",
            "address_2": "174",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266325",
            "telephone_number": "978-677-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MWANIKI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-677-1676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.