Organization Active NPI

Diamond Home Health Services, Inc

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1093723728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 ServicesCCN 237493
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1012779Diamond Home Health Services, Inc17700 Northland Park Court Suite 1-C, Southfield, MI 48075Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hafiz Ihsan Ul Haq Individual 5% Or Greater Direct Ownership Interest Jul 1, 2002 100%
Corporate DirectorCeo/Administrator/Board Member Jul 1, 2002 100%
W-2 Managing EmployeeCeo/Administrator/Board Member Jul 1, 2002 100%
Operational/Managerial ControlCeo/Administrator/Board Member Jul 1, 2002 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.