Organization Active NPI

Diverse Medical Group, Inc

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1962967836
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVERSE MEDICAL GROUP, INC
Practice address
1570 W 38TH PL Unit 13
Hialeah, FL 33012-7041
Phone
(305) 951-8777
Fax
(305) 820-4348
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Misleivi Rodriguez
Title
Ceo
Phone
(305) 951-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1570 W 38TH PL Unit 13
Hialeah, FL 33012-7041

Mailing address

1570 W 38TH PL Unit 13
Hialeah, FL 33012-7041
Phone (305) 951-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216001933 FL Part A Provider - Home Health Agency 9133389661 Practice locations: Hialeah, FL

Home health agency certification: CCN 687056

Legal name
DIVERSE MEDICAL GROUP, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 2020
Last certification
Aug 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 10, 2008 in FL
Enrollment address
1570 W 38TH PL
Unit 13
Hialeah, FL 33012-7041

Care Compare: Home health agency

Medicare Care Compare
Listed as
Diverse Medical Group IncCCN 687056 · All quality measures
Ownership
Proprietary
Certified
Aug 4, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1570 W 38th Pl
Unit 13
Hialeah, FL 33012
Phone (305) 951-8777

8040 NW 95th St
Ste 225
Hialeah Gardens, FL 33016
Phone (305) 951-8777

8040 NW 95th St
Ste 218
Hialeah Gardens, FL 33016

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Misleivi Rodriguez Individual 5% Or Greater Direct Ownership InterestPresident Oct 14, 2025 100%
Corporate OfficerPresident Oct 14, 2025 100%
Max Hernandez Individual Corporate OfficerAdministrator/Don May 1, 2019 50%
W-2 Managing EmployeeAdministrator/Don May 1, 2019 50%
Operational/Managerial ControlAdministrator/Don May 1, 2019 50%
Eduardo O Ramos Rodriguez Individual W-2 Managing EmployeeAd; Nov 17, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1962967836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W 38TH PL UNIT 13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127041",
            "telephone_number": "305-951-8777",
            "fax_number": "305-820-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 W 38TH PL UNIT 13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127041",
            "telephone_number": "305-951-8777",
            "fax_number": "305-820-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MISLEIVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-951-8777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.