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General NPI Number Information
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NPI Number | 1588033666
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Entity Type | Organization
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Legal Business Name | DIVERSE HOME CARE SERVICES INC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 8040 NW 95TH ST STE 226
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-2361
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Country | US
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Telephone | 786-773-5112
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Fax | 305-675-2443
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Provider Business Mailing Address
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Address Line | 8040 NW 95TH ST STE 226
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-2361
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Country | US
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Telephone | 786-773-5112
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Fax | 305-675-2443
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEYSI MERCEDES CASANOVA
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Credential |
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Telephone | 786-797-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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