Diamond Manor Adult Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL7047H Issued in AZ

Legal business name

DIAMOND MANOR ADULT CARE

Doing business as

Diamond Manor Adult Care LLC

Practice address

7330 W. Getty Drive
Phoenix, AZ 85043

Phone

(480) 703-7396

Fax

(602) 237-1624

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By 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

Mrs. Maria Virginia N Cordova

Title

Manager/Owner

Phone

(480) 703-7396

Specialties & licenses 1

Addresses

Other names 1

• DIAMOND MANOR ADULT CARE LLC Doing business as

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1275811598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4356 W ST CATHERINE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396233",
            "telephone_number": "480-703-7396",
            "fax_number": "602-237-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W. GETTY DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85043",
            "telephone_number": "480-703-7396",
            "fax_number": "602-237-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND MANOR ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARIA VIRGINIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "480-703-7396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL7047H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAMOND MANOR ADULT CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.