Active NPI
Diamond Enterprize LLC
- In Home Supportive Care Agency
- Rockford, IL
National Provider Identifier
1487228904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIAMOND ENTERPRIZE LLC
- Practice address
- 124 N. Water St
Suite 208
Rockford, IL 61107 - Phone
- (815) 977-3351
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Louise Marie Crayton
- Title
- President
- Phone
- (847) 243-7916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
124 N. Water St
Suite 208
Rockford, IL 61107
Mailing address
124 N. Water St
Suite 208
Rockford, IL 61107
Phone (847) 243-7916
National Provider Directory
National Provider Directory- Tax ID family
- Diamond Enterprize LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Rockford, IL
- NPI 1912588468
Locations
124 N Water St
Ste 208
Rockford, IL 61107
Phone (815) 312-5810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1487228904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N. WATER ST",
"address_2": "SUITE 208",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "847-243-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N. WATER ST",
"address_2": "SUITE 208",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "815-977-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND ENTERPRIZE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "CRAYTON",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-243-7916",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Pawandeep Dhillon, MD
- Dialysis Care Center Rockford LLC
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Rockford)
- Dialysis of Northern Illinois LLC (Roxbury Dialysis Center)
- Dialysis of Northern Illinois LLC (Owen Center Home Training)
- Diamond Enterprize LLC
- Diamond Familiy Medical Clinic, SC
- Steven D Diamond, MD
- Paula Ann Dicaprio, L.C.P.C.
- Alana Dickinson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.