Active NPI
Diamond Home Health Services, Inc
- Home Health Agency
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIAMOND HOME HEALTH SERVICES, INC
- Practice address
- 17700 Northland Park CT
Suite 1C
Southfield, MI 48075-4302 - Phone
- (248) 569-7900
- Fax
- (248) 569-7917
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Davida Cousin, RN
- Title
- Director of Nursing
- Phone
- (248) 569-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
17700 Northland Park CT
Suite 1C
Southfield, MI 48075-4302
Mailing address
17700 Northland Park CT
Suite 1C
Southfield, MI 48075-4302
Phone (248) 569-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030430000043 | MI | Part A Provider - Home Health Agency | 6406766237 | Practice locations: Southfield, MI |
Home health agency certification: CCN 237493
- Legal name
- DIAMOND HOME HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 16, 2003
- Last certification
- Mar 24, 2016
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 1, 2002 in MI
- Enrollment address
- 17700 Northland Park CT 1C
Southfield, MI 48075-4317
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Diamond Home Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 16, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1012779 | Diamond Home Health Services, Inc | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
17700 Northland Park Ct
Ste 1C
Southfield, MI 48075
Phone (248) 569-7900
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hafiz Ihsan Ul Haq | 5% Or Greater Direct Ownership Interest | Jul 1, 2002 | 100% |
| Corporate Director | Jul 1, 2002 | 100% | |
| W-2 Managing Employee | Jul 1, 2002 | 100% | |
| Operational/Managerial Control | Jul 1, 2002 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Southfield, MI
- NPI 1568561959
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093723728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17700 NORTHLAND PARK CT",
"address_2": "SUITE 1C",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754302",
"telephone_number": "248-569-7900",
"fax_number": "248-569-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17700 NORTHLAND PARK CT",
"address_2": "SUITE 1C",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754302",
"telephone_number": "248-569-7900",
"fax_number": "248-569-7917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND HOME HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COUSIN",
"authorized_official_first_name": "DAVIDA",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "248-569-7900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.