- Enrollment id
- O20080917000150
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518134485
- Multiple npi flag
- N
- Ccn
- 059281
- Associate id
- 6608943600
- Organization name
- DIAMOND HOME HEALTH, INC.
- Incorporation date
- 2007-04-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5530 CORBIN AVE
- Address line 2
- STE 336
- City
- TARZANA
- State
- CA
- Zip code
- 913566042
- Practice location type
- HHA BRANCH