Provider Demographics
NPI:1508988536
Name:DIVERSIFIED CARE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:DIVERSIFIED CARE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-584-5102
Mailing Address - Street 1:9515 GOEHRING RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 ROESSLER RD
Practice Address - Street 2:SUITE 200-B
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1016
Practice Address - Country:US
Practice Address - Phone:724-584-5102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management