Healthcare Provider Details

I. General information

NPI: 1881503639
Provider Name (Legal Business Name): DIAMOND HOMECARESERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2481 MAYFIELD DR
MONTGOMERY IL
60538-5057
US

IV. Provider business mailing address

2481 MAYFIELD DR
MONTGOMERY IL
60538-5057
US

V. Phone/Fax

Practice location:
  • Phone: 331-250-2492
  • Fax:
Mailing address:
  • Phone: 331-250-2492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE NGASSA
Title or Position: PRESIDENT MANAGER
Credential: REGISTERED NURSE
Phone: 331-250-2492