Organization Active NPI

Diamond Home & Community Support Service

  • Community Based Hospice Care Agency
  • Brooklyn Park, MN
National Provider Identifier
1023913126
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIAMOND HOME & COMMUNITY SUPPORT SERVICE
Practice address
7520 Brunswick Ave N Ste 2
Brooklyn Park, MN 55443-2970
Phone
(763) 298-2155
Fax
(763) 200-9061
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herron Gbidi
Title
Owner and Designated Administrator
Phone
(763) 501-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

7520 Brunswick Ave N Ste 2
Brooklyn Park, MN 55443-2970

Mailing address

14240 43Rd Ave N Apt a
Minneapolis, MN 55446-3626
Phone (763) 298-2155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1023913126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 43RD AVE N APT A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554463626",
            "telephone_number": "763-298-2155",
            "fax_number": "763-200-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 BRUNSWICK AVE N STE 2",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432970",
            "telephone_number": "763-298-2155",
            "fax_number": "763-200-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HOME & COMMUNITY SUPPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "GBIDI",
        "authorized_official_first_name": "HERRON",
        "authorized_official_title_or_position": "OWNER AND DESIGNATED ADMINISTRATOR",
        "authorized_official_telephone_number": "763-501-0407"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.