Diversified Home Care LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DIVERSIFIED HOME CARE LLC

Practice address

10757 S River Front Pkwy
110
South Jordan, UT 84095-3545

Phone

(801) 635-9619

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Alex N WinderNPI 1740679885

Title

Owner

Phone

(801) 635-9619

Specialties & licenses 3

Addresses

Practitioners 1

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

• Alex Winder

  • Driver
  • South Jordan, UT
  • NPI 1740679885
  NPD (past) Authorized official

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1972045227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 S RIVER FRONT PKWY",
            "address_2": "110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953545",
            "telephone_number": "801-635-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10757 S RIVER FRONT PKWY",
            "address_2": "110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953545",
            "telephone_number": "801-635-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-635-9619"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Didericksen
• Marian Dignan
• Evelyn Marie Dillingham
• Alison Dinkelman, LCSW
• Kaitlyn Jo Dionne, BCBA, LBA
• Kindee Dixon, LCMHC
• Tanner Dixon
• Chance Doan I
• Donnovan Dolato, ATC, CSCS, NSCA-CPT
• Mattison Doman

• Non-emergency Medical Transport (VAN) in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Non-emergency Medical Transport (VAN) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.