Provider Demographics
NPI:1922541739
Name:DIVERSIFIED HEALTH CARE MANAGEMENT CONSULTANTS, INC
Entity Type:Organization
Organization Name:DIVERSIFIED HEALTH CARE MANAGEMENT CONSULTANTS, INC
Other - Org Name:LITTLE TOTS & MOMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-354-2125
Mailing Address - Street 1:6689 ORCHARD LAKE RD
Mailing Address - Street 2:BOX# 328
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3404
Mailing Address - Country:US
Mailing Address - Phone:248-354-2125
Mailing Address - Fax:248-359-6203
Practice Address - Street 1:16250 NORTHLAND DR
Practice Address - Street 2:SUITE # 241
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5205
Practice Address - Country:US
Practice Address - Phone:248-354-2125
Practice Address - Fax:248-359-6203
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIVERSIFIED HEALTH CARE MANAGEMENT CONSULTANTS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service