Provider Demographics
NPI:1114237443
Name:DIAMOND CANYON HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DIAMOND CANYON HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHUPINDERJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:NIJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-560-1406
Mailing Address - Street 1:7625 E CAMELBACK RD UNIT 250A
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2120
Mailing Address - Country:US
Mailing Address - Phone:734-560-1406
Mailing Address - Fax:734-335-7570
Practice Address - Street 1:7625 E CAMELBACK RD UNIT 250A
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2120
Practice Address - Country:US
Practice Address - Phone:734-560-1406
Practice Address - Fax:734-335-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health