MEDICARE: DILIGENT HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538549167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DILIGENT HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	5757 BOOTH RD BLDG 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5981
Country	:	US
Telephone Number	:	904-425-1414
Fax Number	:	904-425-2055

Provider Business Practice Location Address
First Line	:	5757 BOOTH RD BLDG 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5981
Country	:	US
Telephone Number	:	904-425-1414
Fax Number	:	904-425-2055

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	NEVILLE NKAFU NJIKEM
Credential	:	R.N., M.H.A.
Telephone Number	:	904-425-1414

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	01/29/2024

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