Provider Demographics
NPI:1184275984
Name:DIAMOND IN HOMECARE LLC
Entity type:Organization
Organization Name:DIAMOND IN HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-618-3668
Mailing Address - Street 1:205 ROUTE 46 STE 6
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1815
Mailing Address - Country:US
Mailing Address - Phone:201-614-3668
Mailing Address - Fax:
Practice Address - Street 1:205 ROUTE 46 STE 6
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1815
Practice Address - Country:US
Practice Address - Phone:201-614-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health