- Enrollment id
- O20081208000740
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1578721320
- Multiple npi flag
- N
- Ccn
- 368310
- Associate id
- 9335200450
- Organization name
- DIAMOND HOME HEALTH CARE INC.
- Incorporation date
- 2008-09-22
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1150 MORSE RD
- Address line 2
- SUITE 300
- City
- COLUMBUS
- State
- OH
- Zip code
- 43229