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

Active since June 29, 2023CLIA Certified · 2 labs
1011 E MAIN ST, HAINES CITY, FL 33844(863) 419-4422(833) 795-1975 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Mar 12, 2026, Jun 20, 2024 (3 updates tracked since 2024).

About Diversity Healthcare 'llc' NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSITY HEALTHCARE 'LLC' (NPI 1144907429), doing business as Diversity Healthcare, is a healthcare organization registered as a primary care in Haines City, Florida and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Winter Haven, and lists Clayton Dale Reedy, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1144907429
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVERSITY HEALTHCARE 'LLC'
Location Address1011 E MAIN STHaines City, FL 33844-4239
Mailing Address1011 E Main StHaines, FL 33844 · (863) 419-4422 · Fax (833) 795-1975
Fax(833) 795-1975
Organization SubpartNo
Authorized OfficialClayton Dale ReedyOwner/provider · (863) 419-4422
Enumeration DateJune 29, 2023
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1144907429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1011 E MAIN ST, Haines City, FL 33844

Other Names 1

Doing Business AsDiversity Healthcare

Secondary Practice Location 1

Location 1435 2nd St NEWinter Haven, FL 33881-4103 · Phone (863) 419-4422

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2335809

Diversity Healthcare LLC · Winter Haven, FL
Active · expires Dec 17, 2027
CLIA Number10D2335809
Laboratory TypeIndependent
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorClayton D. Reedy
Laboratory Phone(863) 419-4422
Laboratory LocationDiversity Healthcare LLC435 2nd St NE, Winter Haven, FL 33881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2277304

Diversity Healthcare · Haines City, FL
Active · expires Feb 23, 2027
CLIA Number10D2277304
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorClayton Reedy
Laboratory Phone(863) 419-4422
Laboratory LocationDiversity Healthcare1011 E Main St, Ste A, Haines City, FL 33844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
1011 E MAIN ST
HAINES CITY, FL 33844
Hearing Instrument Specialist
1011 E MAIN ST
HAINES CITY, FL 33844
Counselor
1011 E MAIN ST
HAINES CITY, FL 33844
Physical Medicine & Rehabilitation
1011 E MAIN ST
HAINES CITY, FL 33844
Physical Therapist (Orthopedic)
1011 E MAIN ST
HAINES CITY, FL 33844
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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversity Healthcare 'llc''s NPI number?

The NPI number for Diversity Healthcare 'llc' is 1144907429. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as Diversity Healthcare.

Where is Diversity Healthcare 'llc' located?

Diversity Healthcare 'llc' is located at 1011 E Main St, Haines City, FL 33844. The listed phone number is (863) 419-4422.

What is Diversity Healthcare 'llc''s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Diversity Healthcare 'llc' hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Diversity Healthcare 'llc' was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.