MEDICARE: DILIGENT HEALTHCARE SERVICES 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1295998003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DILIGENT HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4889 SINCLAIR RD STE 105
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5433
Country	:	US
Telephone Number	:	614-598-8153
Fax Number	:

Provider Business Practice Location Address
First Line	:	4889 SINCLAIR RD STE 105
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5433
Country	:	US
Telephone Number	:	614-598-8153
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ABDULKADIR M HAJI
Credential	:	ABDULKADIR M HAJI
Telephone Number	:	220-228-0641

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	06/27/2023

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