Active NPI
Diverse Medical Group, Inc
- Home Health Agency
- Hialeah, FL
National Provider Identifier
1962967836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Aug 4, 2020
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Misleivi Rodriguez | 5% Or Greater Direct Ownership Interest | Oct 14, 2025 | 100% |
| Corporate Officer | Oct 14, 2025 | 100% | |
| Max Hernandez | Corporate Officer | May 1, 2019 | 50% |
| W-2 Managing Employee | May 1, 2019 | 50% | |
| Operational/Managerial Control | May 1, 2019 | 50% | |
| Eduardo O Ramos Rodriguez | W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.