MEDICARE: DIAMOND HOME CARE EXPERTS

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	:	1952723520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND HOME CARE EXPERTS

Provider Business Mailing Address
First Line	:	16903 RED OAK DR
Second Line	:	SUITE 206
City	:	HOUSTON
State	:	TX
Zip	:	77090-3914
Country	:	US
Telephone Number	:	800-403-5223
Fax Number	:	866-841-3223

Provider Business Practice Location Address
First Line	:	16903 RED OAK DR
Second Line	:	SUITE 206
City	:	HOUSTON
State	:	TX
Zip	:	77090-3914
Country	:	US
Telephone Number	:	800-403-5223
Fax Number	:	866-841-3223

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	RACHELLE WILLIIAMS
Credential	:
Telephone Number	:	832-509-8873

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	01/15/2014

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