Provider Demographics
NPI:1083934509
Name:DIVERSITY CARE PROVIDERS, INC.
Entity type:Organization
Organization Name:DIVERSITY CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-488-9849
Mailing Address - Street 1:202 INDUSTRIAL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2700
Mailing Address - Country:US
Mailing Address - Phone:832-488-9849
Mailing Address - Fax:281-903-7217
Practice Address - Street 1:202 INDUSTRIAL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2700
Practice Address - Country:US
Practice Address - Phone:832-771-4526
Practice Address - Fax:713-785-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health