Organization Active NPI

Diamond Home Health Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1437155454
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007796 Issued in TX
Legal business name
DIAMOND HOME HEALTH INC.
Practice address
14780 Memorial Dr Ste 202C
Houston, TX 77079-5284
Phone
(281) 920-9805
Fax
(281) 920-9812
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Nikki Afsar Motazedian
Title
Ceo
Phone
(281) 920-9805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007796 TX Primary

Addresses

Primary practice location

14780 Memorial Dr Ste 202C
Houston, TX 77079-5284

Mailing address

14780 Memorial Dr Ste 202C
Houston, TX 77079-5284
Phone (281) 920-9805

Other identifiers 6

IdentifierTypeStateIssuer
1437155454OtherTXAETNA
1437155454OtherTXUNITED HEALTHCARE
1437155454OtherTXHUMANA
1437155454OtherTXASSURANT TEXAS
1437155454OtherTXBLUE CROSS BLUE SHIELD
1437155454OtherTXCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000377 TX Part A Provider - Home Health Agency 7315003787 Practice locations: Houston, TX

Home health agency certification: CCN 679112

Legal name
DIAMOND HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2002
Last certification
Feb 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 27, 2001 in TX
Enrollment address
14780 Memorial Drive
Suite 202C
Houston, TX 77079-5284

Care Compare: Home health agency

Medicare Care Compare
Listed as
Diamond Home Health IncCCN 679112 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Mar 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0996972Diamond Home Health, Inc14780 Memorial Drive # 202C, Houston, TX 77079Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

14780 Memorial Dr
Ste 202C
Houston, TX 77079
Phone (281) 920-9805

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nikki a Motazedian Individual 5% Or Greater Direct Ownership Interest Oct 1, 2018 51%
Corporate Officer Aug 1, 2011
Corporate Director Aug 30, 2010
Sohelya Damshekan Individual 5% Or Greater Direct Ownership Interest Aug 1, 2011 49%
Corporate Officer Aug 1, 2011
Corporate DirectorCfo Aug 1, 2011 45%
W-2 Managing EmployeeCfo/Alternate Administrator Aug 1, 2011 45%
Operational/Managerial ControlCfo Aug 1, 2011 45%
Shana Dugas Individual Corporate Officer Sep 14, 2010
W-2 Managing Employee Jul 17, 2006
Operational/Managerial Control Sep 14, 2012
Tamara Sanchez Individual W-2 Managing EmployeeAlternate Director of Nurses Nov 17, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1437155454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 MEMORIAL DR STE 202C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795284",
            "telephone_number": "281-920-9805",
            "fax_number": "281-920-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 MEMORIAL DR STE 202C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795284",
            "telephone_number": "281-920-9805",
            "fax_number": "281-920-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "MOTAZEDIAN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "AFSAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-920-9805"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1437155454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1437155454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1437155454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT TEXAS",
            "identifier": "1437155454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1437155454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1437155454",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.