Diamond Star Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIAMOND STAR HOME HEALTH CARE INC

Practice address

225 E Broadway Ste B107
Glendale, CA 91205-1008

Phone

(747) 273-1592

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Petros Petrosyan

Title

Ceo

Phone

(747) 273-1592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753183

Legal name

DIAMOND STAR HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2022

Last certification

Sep 15, 2022

Organization structure

CorporationProprietary

Enrollment address

225 E Broadway Suite B107
Glendale, CA 91205

Listed as

Diamond Star Home Health Care IncCCN 753183

Overall star rating

3.5 of 5

Ownership

-

Certified

Sep 15, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Y Lin, DO

  • Internal Medicine Physician
  • Rosemead, CA
  • NPI 1679635353

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1679157309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-273-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "747-273-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STAR HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-273-1592"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilynne Marguerite Di Paolo, MS., CCC-SLP
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• Diamond Care Dental
• Diamond Hospice Care Organization Inc.
• Diane Boval DDS a Professional Dental Corp
• Kaylan Dias, MFTI
• Eneida Diaz Alvarez
• Jocelyne Diaz Munoz
• Anthony Bryan Diaz

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.