Provider Demographics
NPI:1164292769
Name:DIVERSITY HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DIVERSITY HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BATUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-1680
Mailing Address - Street 1:50 OLD VILLAGE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-5500
Mailing Address - Country:US
Mailing Address - Phone:614-432-1680
Mailing Address - Fax:
Practice Address - Street 1:50 OLD VILLAGE RD STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-5500
Practice Address - Country:US
Practice Address - Phone:614-432-1680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health