Active NPI
Diamond Garden Home
- Intellectual Disabilities Intermediate Care Facility
- Gardena, CA
National Provider Identifier
1346102878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DIAMOND GARDEN HOME
- Practice address
- 15319 Spinning Ave
Gardena, CA 90249-4143 - Phone
- (818) 274-1809
- Fax
- (323) 978-6018
- NPI assigned
- Dec 2, 2025
- Organization subpart
- Yes
- Parent organization
- SUNSHINE RESIDENTIAL HOME, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Jose
- Title
- Owner
- Phone
- (818) 274-1809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
15319 Spinning Ave
Gardena, CA 90249-4143
Mailing address
15319 Spinning Ave
Gardena, CA 90249-4143
Phone (818) 274-1809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G515
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- DIAMOND GARDEN
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Apr 4, 2005
- Last certification
- Oct 9, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 15319 Spinning Avenue
Gardena, CA 90249
National Provider Directory
National Provider Directory- Part of
- Diamond Garden Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1346102878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15319 SPINNING AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494143",
"telephone_number": "818-274-1809",
"fax_number": "323-978-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15319 SPINNING AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494143",
"telephone_number": "818-274-1809",
"fax_number": "323-978-6018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND GARDEN HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNSHINE RESIDENTIAL HOME, LLC",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "JOSE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-274-1809",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.