MEDICARE: DIVERSE ABILITIES 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1245182625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVERSE ABILITIES LLC

Provider Business Mailing Address
First Line	:	6236 FIRESTONE DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6236 FIRESTONE DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4760
Country	:	US
Telephone Number	:	513-208-8045
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASHLEY BLAIR
Credential	:
Telephone Number	:	513-208-8045

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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