Healthcare Provider Details

I. General information

NPI: 1144143033
Provider Name (Legal Business Name): DIAMOND DREAMERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FRANKLIN BOULEVARD
SOMERSET NJ
08873
US

IV. Provider business mailing address

35 FRANKLIN BOULEVARD
SOMERSET NJ
08873
US

V. Phone/Fax

Practice location:
  • Phone: 732-880-8083
  • Fax:
Mailing address:
  • Phone: 732-881-2150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SIABEHTI JOHN
Title or Position: MANAGING DIRECTOR
Credential: BS, MPH
Phone: 732-880-8083