DIVERSITY HEALTHCARE 'LLC'
NPI 1144907429
Clinic/Center - Primary Care in Haines City, FL

NPI Status: Active since June 29, 2023

Contact Information

1011 E MAIN ST
HAINES CITY, FL
ZIP 33844
Phone: (863) 419-4422
Fax: (833) 795-1975

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 10D2277304
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 02-23-2027

About DIVERSITY HEALTHCARE 'LLC'

This page provides the complete NPI Profile along with additional information for Diversity Healthcare 'llc', a primary care provider established in Haines City, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1144907429 assigned on June 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Clayton Dale Reedy Msn, Aprn-c (Owner/provider)

NPI
1144907429
Provider Legal Name
DIVERSITY HEALTHCARE 'LLC'
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1011 E MAIN ST HAINES CITY, FL 33844
Location Phone
(863) 419-4422
Location Fax
(833) 795-1975
Mailing Address
1011 E MAIN ST HAINES, FL 33844
Mailing Phone
(863) 419-4422
Mailing Fax
(833) 795-1975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2023
Last Update Date
03-31-2026
Code Navigator

A primary care provider (PCP) like Diversity Healthcare 'llc' sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 435 2nd St NE
    Winter Haven, FL 33881
    (863) 419-4422

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAYTON DALE REEDY MSN, APRN-C

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(863) 419-4422

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2277304
Facility Type
Practitioner Other
Certificate Effective Date
February 24, 2025
Certificate Expiration Date
February 23, 2027
Laboratory Director
CLAYTON REEDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Diversity Healthcare 'llc' to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144907429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 8 + 0 + 1 + 4 + 4 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1144907429.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
1011 E MAIN ST
HAINES CITY, FL 33844
Clinic/Center (Federally Qualified Health Center (FQHC))
1011 E MAIN ST
HAINES CITY, FL 33844
Hearing Instrument Specialist
1011 E MAIN ST
HAINES CITY, FL 33844
Physical Therapist (Orthopedic)
1011 E MAIN ST
HAINES CITY, FL 33844
Physical Medicine & Rehabilitation
1011 E MAIN ST
HAINES CITY, FL 33844
Counselor
1011 E MAIN ST
HAINES CITY, FL 33844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144907429, enumerated as an "organization" on June 29, 2023.

The provider is located at 1011 E MAIN ST HAINES CITY, FL 33844 and the phone number is (863) 419-4422.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.