Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversified Supportive Services LLC

Organization Case Management Agency · NPI 1922321173

Diversified Supportive Services LLC is a Case Management Agency in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1714 Memphis St Ste C-8
Philadelphia, PA 19125-2700
Phone: (215) 673-2778
Fax: (215) 673-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 383203 (PA)
Home Health Agency Taxonomy 251E00000X · Licence 16723601 (PA)

Record details

NPI number1922321173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rasheen Bethel — Ceo · (215) 673-2778
NPI enumeratedMarch 2, 2010
Last updated in NPPESFebruary 24, 2016
Mailing address1714 Memphis St, Suite C-8, Philadelphia, PA 19125-2700

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