DIAMONDS ENTERPRISE HEALTH SERVICES,LLC


Address: 2221 Peninsula Dr # 209, Erie, PA 16506-2954
Phone: 8142176728

DIAMONDS ENTERPRISE HEALTH SERVICES,LLC (NPI# 1356851596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356851596
Entity Type Organization
Organization Name DIAMONDS ENTERPRISE HEALTH SERVICES,LLC
Practice Address 2221 Peninsula Dr # 209
Erie
PA 16506-2954
Mailing Address 2221 Peninsula Dr Ste 209
Erie
PA 16506-2954
Practice Telephone 8142176728
Practice Fax Number 8142171550
Mailing Telephone 8142176728
Mailing Fax Number 8142171550
Enumeration Date 2017-10-02
Last Update Date 2018-03-17
Authorized Official Name MR. ARREY STEVONE MBU AYANG (PRESIDENT/ALT ADMINISTRATOR)
Authorized Official Telephone 8142176728
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
Nursing Service Providers
N 164W00000X Licensed Practical Nurse Nursing Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 251J00000X Nursing Care Agencies
N 251X00000X Supports Brokerage Agencies
N 253Z00000X In Home Supportive Care Agencies
N 372600000X Adult Companion Nursing Service Related Providers
N 376J00000X Homemaker Nursing Service Related Providers
N 385H00000X Respite Care Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 251E00000X Home Health Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
2221 Peninsula Dr Ste 203, Erie, PA 165062954 8148442015

Office Location

Street Address 2221 PENINSULA DR # 209
City ERIE
State PA
Zip Code 16506-2954

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215582838 Casey Smith Behavioral Analyst 4950 W 23rd Street, Suite 1, Erie, PA 16506 2019-08-09
1962916155 Joseph Michael Moon Chiropractor 2921 W 26th St, Erie, PA 16506 2017-11-27
1053851550 Lake Erie Music Therapy LLC Music Therapist 5672 Culpepper Dr., Erie, PA 16506 2017-03-02
1295152700 Gabrielle Carr Counselor 2420 West 23rd St, Erie, PA 16506 2014-03-21
1407296973 Carolyn Danner-bliss Pediatric Dietitian Services, LLC Dietitian, Registered 5105 Coventry Drive, Erie, PA 16506 2013-06-28
1962847772 Philip J Dunn Internal Medicine 3615 Woodhaven Dr, Erie, PA 16506 2013-05-07
1619236684 Joseph S. Serafini Hearing Instrument Specialist 2930 Mckee Rd, Erie, PA 16506 2012-05-11
1063788313 Tatiana V Khochay Registered Nurse 2801 Burgundy Dr., Erie, PA 16506 2012-03-30
1699051318 Krystyna Teresa Wozniak Licensed Practical Nurse 3912 East Boardwalk Place, Erie, PA 16506 2011-10-26
1033436324 Alexis Jean Mustin Social Worker 3210 West 32nd Street, Erie, PA 16506 2010-04-26
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932748357 Global In-home Care LLC Home Health 2066 E 18th St, Erie, PA 16510-1118 2020-01-02
1518516897 Helping Hands Angels LLC Home Health 1523 Prospect Ave, Erie, PA 16510-1041 2019-09-09
1578111233 Smiles Home Care LLC Home Health 660 E 12th St, Erie, PA 16503-1344 2019-08-27
1023587565 Bayada Home Health Care, Inc. Home Health 3800 W 12th St Ste 2, Erie, PA 16505-3380 2018-11-14
1922530872 Watson & Fink Enterprises LLC Home Health 4508 Miller Ave, Erie, PA 16509-1316 2017-03-30
1518407261 Royal Homehealth Care Services LLC Home Health 2221c Peninsula Dr, Erie, PA 16506-2992 2017-02-28
1982150249 Grace Avail At Home, LLC Home Health 1337 E 8th Street, Erie, PA 16503 2016-08-28
1073067724 Epeople Health Care Inc Home Health 2133 W 8th St, Erie, PA 16505 2016-08-11
1043662166 Moral Home Care LLC Home Health 1715 Hickory St, Erie, PA 16502-1838 2016-07-13
1821463191 Serenity In-home Health Care Home Health 907 W 10th St, Erie, PA 16502-1136 2015-12-11
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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