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Contact Information

DIVERGE HEALTH ACO OF OHIO LLC
500 ADAMS AVE
GLENCOE, IL60022-1865
 Phone: 941-718-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for DIVERGE HEALTH ACO OF OHIO LLC

NPI # 1295513240
LBN Legal business name DIVERGE HEALTH ACO OF OHIO LLC
Authorized official VINCENT PANTONE - (CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2023
Last updated 04/09/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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