Provider Demographics
NPI:1710383880
Name:DIPLOMAT HEALTHCARE
Entity type:Organization
Organization Name:DIPLOMAT HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHAB
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:KRZYWICKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:440-237-3104
Mailing Address - Street 1:9001 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-1011
Mailing Address - Country:US
Mailing Address - Phone:440-237-3104
Mailing Address - Fax:440-237-6730
Practice Address - Street 1:9001 W 130TH STREET
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133
Practice Address - Country:US
Practice Address - Phone:440-237-3104
Practice Address - Fax:440-237-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT2342314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility