MEDICARE: DIVERSIFIED HEALTH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
2	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1881748572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVERSIFIED HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	10777 WESTHEIMER RD STE 1010
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-2457
Country	:	US
Telephone Number	:	713-401-9423
Fax Number	:	888-496-3190

Provider Business Practice Location Address
First Line	:	10777 WESTHEIMER RD STE 1010
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-2457
Country	:	US
Telephone Number	:	713-401-9423
Fax Number	:	888-496-3190

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TRINA SHARICE VIVILLE
Credential	:
Telephone Number	:	713-401-9423

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	01/02/2024

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Directions to “DIVERSIFIED HEALTH SOLUTIONS LLC ” Practice Location

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