Healthcare Provider Details

I. General information

NPI: 1255947792
Provider Name (Legal Business Name): A DIVERSE INVESTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6393 OAKCREEK DR
CINCINNATI OH
45247-5004
US

IV. Provider business mailing address

6393 OAKCREEK DR
CINCINNATI OH
45247-5004
US

V. Phone/Fax

Practice location:
  • Phone: 513-813-6800
  • Fax: 513-657-1157
Mailing address:
  • Phone: 513-813-6800
  • Fax: 513-657-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY FOSTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-813-6800