Healthcare Provider Details

I. General information

NPI: 1184163529
Provider Name (Legal Business Name): DIAMONDS OF MY HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14419 E 7 MILE RD
DETROIT MI
48205-2446
US

IV. Provider business mailing address

14419 E 7 MILE RD
DETROIT MI
48205-2446
US

V. Phone/Fax

Practice location:
  • Phone: 586-745-1752
  • Fax:
Mailing address:
  • Phone: 586-745-1752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberAS500357984
License Number StateMI
# 6
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CURTIS
Title or Position: OWNER/ ADULT CARE PROVIDER
Credential: STATE OF MI LICENSED
Phone: 586-745-1752