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General NPI Number Information
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NPI Number | 1881748572
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 10777 WESTHEIMER RD STE 1010
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City | HOUSTON
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State | TX
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Zip | 77042-2457
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Country | US
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Telephone | 713-401-9423
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Fax | 888-496-3190
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Provider Business Mailing Address
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Address Line | 10777 WESTHEIMER RD STE 1010
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City | HOUSTON
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State | TX
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Zip | 77042-2457
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Country | US
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Telephone | 713-401-9423
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Fax | 888-496-3190
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Authorized Official
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Title or Position | CEO
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Name | MRS. TRINA SHARICE VIVILLE
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Credential |
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Telephone | 713-401-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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