NPIMap

Organization Active NPI

Diamond Home Health Services, Inc

  • Home Health Agency
  • Diamond Bar, CA
National Provider Identifier
1093972887
Registry record updated May 20, 2008
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
1200 S Diamond Bar Blvd
Suite 213
Diamond Bar, CA 91765-2298
Phone
(909) 860-2100
Fax
(909) 510-8073
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Ms. Suile Pan, RN
Title
Ceo
Phone
(909) 860-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

1200 S Diamond Bar Blvd
Suite 213
Diamond Bar, CA 91765-2298

Mailing address

1200 S Diamond Bar Blvd
Suite 213
Diamond Bar, CA 91765-2298
Phone (909) 860-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000701 CA Part A Provider - Home Health Agency 9638249881 Practice locations: Diamond Bar, CA

Home health agency certification: CCN 059499

Legal name
DIAMOND HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 9, 2013
Last certification
Nov 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 9, 2007 in CA
Enrollment address
1200S Diamond Bar Blvd 213
Diamond Bar, CA 91765-2298
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Diamond Home Health Services, IncCCN 059499
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 9, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1200 S Diamond Bar Blvd
Ste 213
Diamond Bar, CA 91765
Phone (909) 860-2100

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suile Pan Individual 5% Or Greater Direct Ownership InterestCeo May 20, 2008 50%
Corporate DirectorCeo May 20, 2008 50%
W-2 Managing EmployeeCeo Jan 1, 2013 50%
Guojia Li Individual 5% Or Greater Direct Ownership InterestPresident May 20, 2008 50%
Corporate DirectorPresident May 20, 2008 50%
W-2 Managing EmployeePresident Jan 1, 2013 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1093972887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S DIAMOND BAR BLVD",
            "address_2": "SUITE 213",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652298",
            "telephone_number": "909-860-2100",
            "fax_number": "909-510-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S DIAMOND BAR BLVD",
            "address_2": "SUITE 213",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652298",
            "telephone_number": "909-860-2100",
            "fax_number": "909-510-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "SUILE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-860-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.