Provider Demographics
NPI:1508941154
Name:DIAMOND CARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:DIAMOND CARE HEALTH SERVICES, LLC
Other - Org Name:DIAMOND CARE HEALTH SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:NWOSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-479-1888
Mailing Address - Street 1:777 S CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 7E
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080
Mailing Address - Country:US
Mailing Address - Phone:972-479-1888
Mailing Address - Fax:972-479-1887
Practice Address - Street 1:777 S CENTRAL EXPY
Practice Address - Street 2:SUITE 7E
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7411
Practice Address - Country:US
Practice Address - Phone:972-479-1888
Practice Address - Fax:972-479-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009433251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457997Medicare ID - Type Unspecified