NPIMap

Organization Active NPI

Diversity Home Health

  • Attendant Care Provider
  • Milwaukee, WI
National Provider Identifier
1790345387
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
DIVERSITY HOME HEALTH
Practice address
342 N Water St
Milwaukee, WI 53202-5514
Phone
(262) 899-9261
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Ravn WilliamsNPI 1497315204
Title
Owner
Phone
(266) 899-9261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

342 N Water St
Milwaukee, WI 53202-5514

Mailing address

3532 E Tesch Ave
St Francis, WI 53235-4863

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1790345387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 E TESCH AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532354863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N WATER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025514",
            "telephone_number": "262-899-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RAVN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "266-899-9261"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.