Provider Demographics
NPI:1730654625
Name:DIAMOND HOME CARE CONSULTANTS
Entity Type:Organization
Organization Name:DIAMOND HOME CARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-867-8374
Mailing Address - Street 1:8500 STATION ST STE 111
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4963
Mailing Address - Country:US
Mailing Address - Phone:440-255-4357
Mailing Address - Fax:
Practice Address - Street 1:8500 STATION ST STE 111
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4963
Practice Address - Country:US
Practice Address - Phone:440-255-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health