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DIVERSIFIED SUPPORTIVE SERVICES LLC
NPI 1790807758
Home Health in Phila, PA

Active since April 03, 2007
9200 OLD BUSTLETON AVE, SUITE D-207, PHILA, PA 19115(215) 673-2778(215) 673-2778 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diversified Supportive Services Llc NPPES

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

DIVERSIFIED SUPPORTIVE SERVICES LLC (NPI 1790807758) is a healthcare organization registered as a home health in Phila, Pennsylvania and active in the NPI registry since April 2007. The organization lists Rasheen H Beard, Manager, as its authorized official.

NPPES Registry Identity

NPI1790807758
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDIVERSIFIED SUPPORTIVE SERVICES LLC
Location Address9200 OLD BUSTLETON AVE, SUITE D-207Phila, PA 19115-4642
Mailing AddressPo Box 45923Phila, PA 19149-5923 · (215) 673-2778 · Fax (215) 673-2778
Phone(215) 673-2778
Fax(215) 673-2778
Organization SubpartNo
Authorized OfficialRasheen H BeardManager · (215) 673-2778
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790807758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
9200 OLD BUSTLETON AVE, Phila, PA 19115
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Other Providers at the Same Location NPPES

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

DIVERSIFIED RECREATIONAL RESOURCES LLC
Home Health
9200 OLD BUSTLETON AVE, D207
PHILA, PA 19115
Philadelphia County (215) 673-2778

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 Diversified Supportive Services LLC's NPI number?

The NPI number for Diversified Supportive Services LLC is 1790807758. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Diversified Supportive Services LLC located?

Diversified Supportive Services LLC is located at 9200 Old Bustleton Ave Suite D-207, Phila, PA 19115. The listed phone number is (215) 673-2778.

What is Diversified Supportive Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Diversified Supportive Services LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.