Diversecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVERSECARE LLC

Practice address

144 E Snowy Egret Ave
Saratoga Springs, UT 84045-2913

Phone

(801) 669-6901

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Moses Itepu

Title

Director

Phone

(801) 669-6901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1992505176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E SNOWY EGRET AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840452913",
            "telephone_number": "801-669-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E SNOWY EGRET AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840452913",
            "telephone_number": "801-669-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "ITEPU",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-669-6901"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy C Diamond, PT, DPT
• Michelle Dickinson
• Braelyn Diers
• Caitlin Rae Dillman
• Heather Dillon, M.ED, BCBA, LBA
• Crystal Nicole Dodd
• Lance Juddson Dome, PHD, LMFT
• Domino Family Services, LLC
• Duane Domino
• Hailey Donahue

• In Home Supportive Care Agency in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.