Organization Active NPI

Diamond Personal Care, LLC

  • Home Health Agency
  • Conway, AR
National Provider Identifier
1659912376
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIAMOND PERSONAL CARE, LLC
Practice address
33 Macarthur Dr
Conway, AR 72032-4510
Phone
(501) 358-6180
Fax
(501) 504-6933
NPI assigned
Oct 3, 2019
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Nancy Isch Desonie
Title
Owner
Phone
(501) 358-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

33 Macarthur Dr
Conway, AR 72032-4510

Mailing address

33 Macarthur Dr
Conway, AR 72032-4510
Phone (501) 358-6180

Other identifiers 1

IdentifierTypeStateIssuer
1659912376MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL diamondpersonalcare@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

25 MacArthur Dr
Conway, AR 72032

33 MacArthur Dr
Conway, AR 72032
Phone (501) 358-6180

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1659912376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MACARTHUR DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324510",
            "telephone_number": "501-358-6180",
            "fax_number": "501-504-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MACARTHUR DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324510",
            "telephone_number": "501-358-6180",
            "fax_number": "501-504-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "DESONIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ISCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-358-6180"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659912376",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "diamondpersonalcare@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e mail",
            "address_1": "25 MacArthur Dr",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720324510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.