Provider Demographics
NPI:1477621589
Name:NURSING HOME DIVERSION AMERICAN ELDERCARE INC
Entity Type:Organization
Organization Name:NURSING HOME DIVERSION AMERICAN ELDERCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-499-9656
Mailing Address - Street 1:14565 SIMS RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8549
Mailing Address - Country:US
Mailing Address - Phone:561-496-4440
Mailing Address - Fax:561-860-8607
Practice Address - Street 1:14565 SIMS RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8547
Practice Address - Country:US
Practice Address - Phone:561-499-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL299991930302R00000X
FL299991915302R00000X
FL299991713302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015031220Medicaid
FL015031227Medicaid
FL015031234Medicaid
FL015031237Medicaid
FL015031223Medicaid
FL015031231Medicaid
FL015031233Medicaid
FL015031221Medicaid
FL015031222Medicaid
FL015031228Medicaid
FL015031230Medicaid
FL015031235Medicaid
FL015031232Medicaid
FL015031229Medicaid
FL015031224Medicaid
FL015031226Medicaid
FL015031236Medicaid
FL015031225Medicaid