Healthcare Provider Details

I. General information

NPI: 1700703204
Provider Name (Legal Business Name): DIAMOND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20226 MERIWETHER DR
OREGON CITY OR
97045-7086
US

IV. Provider business mailing address

20226 MERIWETHER DR
OREGON CITY OR
97045-7086
US

V. Phone/Fax

Practice location:
  • Phone: 781-309-8976
  • Fax:
Mailing address:
  • Phone: 781-309-8976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ESMEILE ARAGE OMER
Title or Position: DIRECTOR
Credential:
Phone: 781-309-8976