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NPI Code Detail

MEDICARE: DIPLOMATE HEALTHCARE LLC

MEDICARE: DIPLOMATE HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124206735
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIPLOMATE HEALTHCARE LLC
Provider Business Mailing Address
First Line : 23700 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5827
Country : US
Telephone Number : 216-292-5706
Fax Number :
Provider Business Practice Location Address
First Line : 9001 W 130TH ST
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-1011
Country : US
Telephone Number : 440-237-3104
Fax Number : 440-237-6730
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM WEISBERG
Credential :
Telephone Number : 216-292-5706
Provider Enumeration Date : 02/06/2008
Last Update Date : 01/10/2022

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Directions to “DIPLOMATE HEALTHCARE LLC ” Practice Location

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