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DIAMOND MANOR ADULT CARE NPI 1275811598


NPI Information

NPI: 1275811598
Provider Name: DIAMOND MANOR ADULT CARE

Doing Business As: DIAMOND MANOR ADULT CARE LLC

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 03D2211602

Address:
7330 W. GETTY DRIVE
PHOENIX, AZ
ZIP 85043
Phone: (480) 703-7396
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DIAMOND MANOR ADULT CARE is an adult care home custodial care facility in Phoenix, AZ. The provider is 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. DIAMOND MANOR ADULT CARE NPI is 1275811598. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Manor Adult Care Llc.

The provider's business location address is:

7330 W. GETTY DRIVE
PHOENIX, AZ
ZIP 85043
Phone: (480) 703-7396
Fax: (602) 237-1624

The provider's authorized official is Maria Virginia N Cordova .
The authorized official title is Manager/owner and has the following contact phone number (480) 703-7396.

The CLIA number assigned to this NPI record is 03D2211602 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 8/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAL7047HARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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