Organization Active NPI

Diamond Peak Health Care LLC

  • Assisted Living Facility
  • Pocatello, ID
National Provider Identifier
1669288080
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DIAMOND PEAK HEALTH CARE LLC
Practice address
1111 N 8TH Ave Ste B
Pocatello, ID 83201-5789
Phone
(208) 220-8606
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Melissa Ann Ourada
Title
Owner
Phone
(208) 220-8606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1111 N 8TH Ave Ste B
Pocatello, ID 83201-5789

Mailing address

1111 N 8TH Ave Ste B
Pocatello, ID 83201-5789
Phone (208) 220-8606

National Provider Directory

National Provider Directory

Locations

1111 N 8th Ave
#B
Pocatello, ID 83201
Phone (208) 220-8606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1669288080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 8TH AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015789",
            "telephone_number": "208-220-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 8TH AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015789",
            "telephone_number": "208-220-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND PEAK HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "OURADA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-220-8606"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.