DIAMOND ADULT DAY SERVICES LLC NPI 1134696990

NPI Information

NPI: 1134696990
Provider Name: DIAMOND ADULT DAY SERVICES LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1790 LEXINGTON AVE N
SAINT PAUL, MN
ZIP 55113
Phone: (507) 990-5187
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DIAMOND ADULT DAY SERVICES LLC is an adult day care clinic center in Saint Paul, MN. DIAMOND ADULT DAY SERVICES LLC NPI is 1134696990. The provider is registered as an organization entity type.

The provider's business location address is:

1790 LEXINGTON AVE N
SAINT PAUL, MN
ZIP 55113-167
Phone: (507) 990-5187
Fax: (866) 597-0950

The provider's authorized official is Omar Sheikh Roble .
The authorized official title is Ceo and has the following contact phone number (507) 990-5187.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 10/30/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	MINNESOTA	ADULT DAY SERVICES
2	=========	MEDICAID	MINNESOTA

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: 5/5/2024

NPI Synchronization or Removal

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