Healthcare Provider Details

I. General information

NPI: 1184275984
Provider Name (Legal Business Name): DIAMOND IN HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ROUTE 46 STE 6
TOTOWA NJ
07512-1815
US

IV. Provider business mailing address

205 ROUTE 46 STE 6
TOTOWA NJ
07512-1815
US

V. Phone/Fax

Practice location:
  • Phone: 201-614-3668
  • Fax:
Mailing address:
  • Phone: 201-614-3668
  • Fax:

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: SANA BADRI
Title or Position: OWNER
Credential:
Phone: 201-618-3668