DIAMOND LIFE HEALTH CARE, INC. (NPI# 1518086420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518086420 |
| Entity Type | Organization |
| Organization Name | DIAMOND LIFE HEALTH CARE, INC. |
| Practice Address |
4912 Barnes City Rd Montezuma IA 50171-8544 |
| Mailing Address |
Po Box 820 Montezuma IA 50171-0820 |
| Practice Telephone | 6416235715 |
| Mailing Telephone | 6416235715 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CLOIS LUTHER COON (CFO) |
| Authorized Official Telephone | 4024265150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
R-725 | IA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | DIAMOND LIFE HEALTH CARE, INC. | 4912 Barnes City Road, Po Box 820, Montezuma, IA 50171 |
| Street Address |
4912 BARNES CITY RD |
| City | MONTEZUMA |
| State | IA |
| Zip Code | 50171-8544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778253 | Nudak Ventures LLC | Pharmacy | 323 E Main Street, Montezuma, IA 50171 | 2017-08-31 |
| 1871759662 | Remedy Drug Inc | Pharmacy | 323 E Main, Montezuma, IA 50171 | 2008-08-01 |
| 1134300700 | Montezuma Community School District | Private Vehicle | 508 North 4th St, Box 580, Montezuma, IA 50171 | 2007-11-23 |
| 1922113950 | Alexander Drug Co Inc | Pharmacy | 323 E Main St, Montezuma, IA 50171 | 2006-08-20 |
| 1851712376 | Monte Pharmacies LLC | Pharmacy | 323 East Main Street, Montezuma, IA 50171 | 2013-12-31 |
| 1972586725 | James B Paulson | Family Medicine | 101 W Washington St, Montezuma, IA 50171 | 2005-11-25 |
| 1467548636 | City of Montezuma | Ambulance | 503 E Main St, Montezuma, IA 50171-0314 | 2006-10-05 |
| 1134208143 | Samuel Mummey IIi | Dentist | 303 S 4th St, Montezuma, IA 50171-0699 | 2006-11-02 |
| 1164761698 | Diamond Trail Dental PC | Clinic/Center | 301 S. 4th St., Montezuma, IA 50171-1031 | 2013-02-04 |
| 1619280419 | Sara Erselius | Social Worker | 705 E Main St, Montezuma, IA 50171-1043 | 2010-07-21 |
| Find all providers in zip 50171 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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| 1750412672 | Proffitt's Residential | Custodial Care Facility | 615 West Washington St, Centerville, IA 52544-1623 | 2007-03-09 |
| 1871640144 | Legacy House LLC | Custodial Care Facility | 207 E Salem Ave, Indianola, IA 50125-2621 | 2007-01-05 |
| 1790842615 | Keokuk Area Group Home | Custodial Care Facility | 317 High St, Keokuk, IA 52632-5939 | 2007-01-02 |
| 1063578359 | Gbgb Lc Dba Briarwood Care Center | Custodial Care Facility | 416 S Clark St, Maquoketa, IA 52060-3226 | 2006-12-29 |
| 1285797415 | Comprehensive Systems, Inc | Custodial Care Facility | 818 N 7th St, Osage, IA 50461-1360 | 2006-12-19 |
| 1679636740 | Comprehensive Systems, Inc. | Custodial Care Facility | 841 W Main St, New Hampton, IA 50659-1005 | 2006-12-19 |
| 1780747915 | Comprehensive Systems, Inc | Custodial Care Facility | 702 Elm Street, Elma, IA 50628 | 2006-12-19 |
| 1144383464 | Comprehensive Systems, Inc | Custodial Care Facility | 695 S Illinois Ave, Mason City, IA 50401-5405 | 2006-12-18 |
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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.