Divergent Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVERGENT SERVICES

Practice address

3955 Campbell Ave
Indianapolis, IN 46226-4836

Phone

(317) 362-3792

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kennie Nicole Jackson Walcott

Title

Owner/Caregiver

Phone

(317) 362-3792

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kennie Nicole Jackson

  • Driver
  • Indianapolis, IN
  • NPI 1629380316
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1821300245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 CAMPBELL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264836",
            "telephone_number": "317-362-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 CAMPBELL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264836",
            "telephone_number": "317-362-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "WALCOTT",
        "authorized_official_first_name": "KENNIE",
        "authorized_official_middle_name": "NICOLE JACKSON",
        "authorized_official_title_or_position": "OWNER/CAREGIVER",
        "authorized_official_telephone_number": "317-362-3792",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Leigh Ditslear
• Jacqueline Nicole Ditslear, CCC-SLP
• Katherine Dittmer
• Janet Lee Divelbiss, RN
• Timothy D Divens, MD
• Diverse Dimensions Behavior Consulting LLC
• Diverse Network Analytics
• Diversified Concepts/City Solutions Inc.
• Divias Care LLC
• Amy Divincenzo, MSW

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.