Provider Demographics
NPI:1982601621
Name:DIVERSIFIED HEALTH CARE SYSTEMS, INC.
Entity Type:Organization
Organization Name:DIVERSIFIED HEALTH CARE SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-526-3482
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 775
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2091
Mailing Address - Country:US
Mailing Address - Phone:713-526-3482
Mailing Address - Fax:713-526-2058
Practice Address - Street 1:7322 SOUTHWEST FWY STE 775
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2091
Practice Address - Country:US
Practice Address - Phone:713-526-3482
Practice Address - Fax:713-526-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001644251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111524801Medicaid
TX457743Medicare Oscar/Certification
TX457743Medicare ID - Type UnspecifiedHOME HEALTH