Provider Demographics
NPI:1609850858
Name:DIAMONDS & PEARLS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DIAMONDS & PEARLS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-752-8500
Mailing Address - Street 1:23611 CHAGRIN BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5540
Mailing Address - Country:US
Mailing Address - Phone:216-752-8500
Mailing Address - Fax:216-752-8670
Practice Address - Street 1:23611 CHAGRIN BLVD STE 226
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5540
Practice Address - Country:US
Practice Address - Phone:216-752-8500
Practice Address - Fax:216-752-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368035Medicare Oscar/Certification