MEDICARE: DIVA WITH A HEART 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316648827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVA WITH A HEART LLC

Provider Business Mailing Address
First Line	:	1065 FINDLEY DR APT 4
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1730
Country	:	US
Telephone Number	:	412-583-6828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1065 FINDLEY DR APT 4
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1730
Country	:	US
Telephone Number	:	412-583-6828
Fax Number	:

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MS. DANELLE C LEE
Credential	:
Telephone Number	:	412-583-6828

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	03/13/2023

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Directions to “DIVA WITH A HEART LLC ” Practice Location

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