Provider Demographics
NPI:1922560929
Name:DIVERSE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:DIVERSE HOME CARE SERVICES INC
Other - Org Name:BROWARD CAREGIVER SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEYSI
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-773-5112
Mailing Address - Street 1:11820 MIRAMAR PKWY STE 219
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5818
Mailing Address - Country:US
Mailing Address - Phone:954-743-6233
Mailing Address - Fax:954-416-9070
Practice Address - Street 1:11820 MIRAMAR PKWY STE 219
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5818
Practice Address - Country:US
Practice Address - Phone:954-743-6233
Practice Address - Fax:954-416-9070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIVERSE HOME CARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health