Healthcare Provider Details

I. General information

NPI: 1316262017
Provider Name (Legal Business Name): DIAMOND HEART HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N WATSON RD STE 169
ARLINGTON TX
76006-6292
US

IV. Provider business mailing address

1201 N WATSON RD STE 169
ARLINGTON TX
76006-6292
US

V. Phone/Fax

Practice location:
  • Phone: 817-881-3135
  • Fax: 682-320-8798
Mailing address:
  • Phone: 817-881-3135
  • Fax: 682-320-8798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care 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: GEORGE U EZIGBO
Title or Position: ADMINISTRATOR/DON
Credential: RN, MSN
Phone: 817-881-3135