Organization Active NPI

Diamond Lake Comprehensive Care LLC

  • Home Health Agency
  • Edina, MN
National Provider Identifier
1326943812
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIAMOND LAKE COMPREHENSIVE CARE LLC
Practice address
7101 York Ave S Ste 30
Edina, MN 55435-4494
Phone
(763) 328-6761
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Sunan Mohamed
Title
Manager
Phone
(763) 328-6761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

7101 York Ave S Ste 30
Edina, MN 55435-4494

Mailing address

7101 York Ave S Ste 30
Edina, MN 55435-4494

National Provider Directory

National Provider Directory

Locations

7101 York Ave S
Ste 30
Edina, MN 55435

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1326943812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 30",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 30",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354494",
            "telephone_number": "763-328-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND LAKE COMPREHENSIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SUNAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-328-6761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.