DIVERSE CARE SERVICES, LLC (NPI# 1023340205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023340205 |
| Entity Type | Organization |
| Organization Name | DIVERSE CARE SERVICES, LLC |
| Practice Address |
1485 Childers Road Mount Ulla NC 28125 |
| Mailing Address |
1275 Relative Road Post Office Box 654 Mount Ulla NC 28125 |
| Practice Telephone | 7046645557 |
| Mailing Telephone | 7046645557 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | MS. CYNTHIA LOUISE MCCOY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7046645557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
NC | Ambulatory Health Care Facilities |
| Street Address |
1485 CHILDERS ROAD |
| City | MOUNT ULLA |
| State | NC |
| Zip Code | 28125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659411775 | Patrice B Mosher | Speech-Language Pathologist | 1086 Jenkins Branch Lane, One Step At A Time Therapy Services, Mount Ulla, NC 28125-8699 | 2007-02-07 |
| 1285691162 | Marla S Mckenna | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2006-04-26 |
| 1376084723 | Kini Brindle | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2017-03-18 |
| 1558737387 | Kim Linville | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2015-08-17 |
| 1720325210 | Susan West Cujas | Occupational Therapist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2013-01-03 |
| 1134465719 | Bonnie Yaeko Schwengel | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2012-12-30 |
| 1447501937 | Kala Powell | Occupational Therapist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2012-09-25 |
| 1275895211 | Jenny Hahn Mah | Physical Therapist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2012-06-14 |
| 1023398856 | Susan Fay Allegro | Occupational Therapist | 1086 Jenkins Branch Ln, Contact Email: [email protected], Mount Ulla, NC 28125-8699 | 2011-08-24 |
| 1336428762 | Elizabeth Wiley Ritchie | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2011-08-16 |
| Find all providers in zip 28125 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
| City | MOUNT ULLA |
| Zip Code | 28125 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.