Organization Active NPI

Diversity Care NP Group LLC

  • Nurse Practitioner
  • Bear, DE
National Provider Identifier
1811862113
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DIVERSITY CARE NP GROUP LLC
Practice address
1102 Quintilio Dr
Bear, DE 19701-6004
Phone
(302) 276-9590
NPI assigned
Oct 7, 2025
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Sedelle Luree Henderson-BamideleNPI 1407395759
Title
NP
Phone
(302) 276-9590

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Gerontology Nurse Practitioner 363LG0600X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

1102 Quintilio Dr
Bear, DE 19701-6004

Mailing address

PO Box 10601
Wilmington, DE 19850-0601
Phone (302) 276-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219000905 DE Part B Supplier - Clinic/Group Practice 9133614977 Receives reassigned benefits from 3 practitioners
Practice locations: Bear, DE

National Provider Directory

National Provider Directory

Locations

1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590

1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590

Practitioners & affiliated clinicians

Practitioners 3

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": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1811862113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10601",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198500601",
            "telephone_number": "302-276-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 QUINTILIO DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016004",
            "telephone_number": "302-276-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY CARE NP GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-BAMIDELE",
        "authorized_official_first_name": "SEDELLE",
        "authorized_official_middle_name": "LUREE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "302-276-9590"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.