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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
2221 Peninsula Dr Ste 203, Erie, PA 165062954 | 8148442015 |
Street Address |
2221 PENINSULA DR # 209 |
City | ERIE |
State | PA |
Zip Code | 16506-2954 |
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 |
Find all providers in zip 16506 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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] |
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 |
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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.