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Contact Information

DIVERGENT SERVICES
3955 CAMPBELL AVE
INDIANAPOLIS, IN46226-4836
 Phone: 317-362-3792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Respite Care

385H00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for DIVERGENT SERVICES

NPI # 1821300245
LBN Legal business name DIVERGENT SERVICES
Authorized official KENNIE WALCOTT - (OWNER/CAREGIVER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2010
Last updated 07/14/2010 - About 16 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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