Provider Demographics
NPI:1457546541
Name:DIVERSIFIED HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:DIVERSIFIED HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:N
Authorized Official - Last Name:OLAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-206-1494
Mailing Address - Street 1:3556 SULLIVANT AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1153
Mailing Address - Country:US
Mailing Address - Phone:614-206-1494
Mailing Address - Fax:614-276-4500
Practice Address - Street 1:3556 SULLIVANT AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1153
Practice Address - Country:US
Practice Address - Phone:614-206-1494
Practice Address - Fax:614-276-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health