MEDICARE: ALI DILIGENT HOME CARE LLC

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

General Provider Information

NPI Number	:	1588513832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALI DILIGENT HOME CARE LLC

Provider Business Mailing Address
First Line	:	1216 GROTHE ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-7717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 GROTHE ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-7717
Country	:	US
Telephone Number	:	904-489-4028
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMIA ALI
Credential	:
Telephone Number	:	904-489-4028

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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