Healthcare Provider Details

I. General information

NPI: 1093601437
Provider Name (Legal Business Name): DIAMOND HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 MILL RUN CIR STE 415
OWINGS MILLS MD
21117-5577
US

IV. Provider business mailing address

516 HILL RD
HYATTSVILLE MD
20785-4617
US

V. Phone/Fax

Practice location:
  • Phone: 301-892-6721
  • Fax: 240-444-8145
Mailing address:
  • Phone: 202-390-4211
  • Fax: 240-444-8145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMEKA ADIBE
Title or Position: ADMINISTRATOR
Credential:
Phone: 202-390-4211