Diamond State Personal Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIAMOND STATE PERSONAL CARE, INC.

Doing business as

Visiting Angels

Practice address

240 Skyline Dr Ste 301
Conway, AR 72032-2810

Phone

(501) 329-2100

Fax

(501) 504-2454

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard W Jones

Title

President / Owner

Phone

(501) 329-2100

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1245850023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SKYLINE DR STE 301",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322810",
            "telephone_number": "501-329-2100",
            "fax_number": "501-504-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SKYLINE DR STE 301",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322810",
            "telephone_number": "501-329-2100",
            "fax_number": "501-504-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Ouachita Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719015184",
            "country_code": "US",
            "telephone_number": "501-321-4900",
            "fax_number": "501-504-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAMOND STATE PERSONAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "501-329-2100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gracen Caroline Dew
• Jessica RC Dewberry, CCC-SLP
• Dewmor Enterprises (Inspired Portable Oxygen)
• Lori Quattlebaum Dial, CCC-SLP
• Diamond Personal Care, LLC
• Dawn Nichole Dickerson, OT
• Heather Elizabeth Dickerson
• Shalay Dickerson, RECOVERY ASSISTANT
• Joshua Dickinson, D.O.
• Laura Dickinson

• In Home Supportive Care Agency in Conway, AR
• Providers in Conway, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.