MEDICARE: DIAMOND JONES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588408595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND JONES

Provider Business Mailing Address
First Line	:	826 WARREN AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-1331
Country	:	US
Telephone Number	:	463-209-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2247 W WASHINGTON ST STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-4389
Country	:	US
Telephone Number	:	317-986-6001
Fax Number	:	317-986-6001

Authorized Official
Title or Position	:	OWNER
Name	:	DIAMOND JONES
Credential	:
Telephone Number	:	463-209-3340

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/26/2025

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Directions to “DIAMOND JONES ” Practice Location

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