Healthcare Provider Details

I. General information

NPI: 1265151542
Provider Name (Legal Business Name): DILIGENT RND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 LONGSHORE ST
DUBLIN OH
43017-2773
US

IV. Provider business mailing address

4812 MERRIFIELD PL
UPPER ARLINGTON OH
43220-5435
US

V. Phone/Fax

Practice location:
  • Phone: 614-964-5229
  • Fax: 614-964-5232
Mailing address:
  • Phone: 313-433-0151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARLES MCCOY
Title or Position: CFO
Credential:
Phone: 614-964-5229