Healthcare Provider Details

I. General information

NPI: 1194641498
Provider Name (Legal Business Name): DIAMOND VISITING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 ROCKWELL AVE
BRISTOL CT
06010-5942
US

IV. Provider business mailing address

415 BOSTON POST RD STE 3
MILFORD CT
06460-2578
US

V. Phone/Fax

Practice location:
  • Phone: 408-480-3857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAISY RUGUBE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 408-480-3857