NPIMap

Organization Active NPI

Forever Diamond Home Care LLC

  • In Home Supportive Care Agency
  • O'Fallon, MO
National Provider Identifier
1093452948
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOREVER DIAMOND HOME CARE LLC
Doing business as
Forever Diamond Home Care LLc
Practice address
1000 Ashfield LN
O Fallon, MO 63366-1565
Phone
(314) 643-1662
NPI assigned
May 12, 2022
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mrs. Monica JenkinsNPI 1588324826
Title
Owner
Phone
(314) 643-1662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1000 Ashfield LN
O Fallon, MO 63366-1565

Mailing address

1000 Ashfield LN
O Fallon, MO 63366-1565
Phone (314) 643-1662

Other names 1

  • Forever Diamond Home Care LLc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1093452948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASHFIELD LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661565",
            "telephone_number": "314-643-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHFIELD LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661565",
            "telephone_number": "314-643-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER DIAMOND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-643-1662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Diamond Home Care LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.