Diamond Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12748 Issued in FL

Legal business name

DIAMOND ALF LLC

Practice address

3339 Highway 17
Green Cove Springs, FL 32043-3797

Phone

(904) 863-3000

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Steve Ashdji

Title

Owner

Phone

(407) 590-2998

Specialties & licenses 1

Addresses

Other names 1

• Diamond Assisted Living Doing business as

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1679932974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 DELWICK DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866081",
            "telephone_number": "407-226-7110",
            "fax_number": "800-531-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 HIGHWAY 17",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433797",
            "telephone_number": "904-863-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ASHDJI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-590-2998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reginald M. Davis, M.D.
• Dependable Transit Service
• Scott Derenda
• Gretchen Dubrie Dettlinger, PMHNP-BC
• William F. Dewolf II, MD
• Dist School Board of Clay County
• Dortheanne J. Roberts, OD PA
• Dreh Holdings LLC
• Dte Positive Solutions Counseling LLC
• Alyssa Durano

• Assisted Living Facility in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.