Provider Demographics
NPI:1336607415
Name:LITTLE DIAMONDS HOME CARE AGENCY INC.
Entity Type:Organization
Organization Name:LITTLE DIAMONDS HOME CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDKING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-220-8762
Mailing Address - Street 1:1752 VICTORIA RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1415
Mailing Address - Country:US
Mailing Address - Phone:216-220-8762
Mailing Address - Fax:216-243-9362
Practice Address - Street 1:1752 VICTORIA RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1415
Practice Address - Country:US
Practice Address - Phone:216-220-8762
Practice Address - Fax:216-243-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health