Diamond Village Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DIAMOND VILLAGE CARE HOME, LLC

Practice address

8709 Crystal River Way
Sacramento, CA 95828-5140

Phone

(607) 592-1611

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Roxanne OmoaholoNPI 1902448582

Title

Owner/Manager

Phone

(607) 592-1611

Specialties & licenses 2

Addresses

Practitioners 1

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

• Roxanne Omoaholo

  • Home Health Registered Nurse
  • Roseville, CA
  • NPI 1902448582
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1740864172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 CRYSTAL RIVER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 CRYSTAL RIVER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285140",
            "telephone_number": "607-592-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND VILLAGE CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "OMOAHOLO",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "607-592-1611"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Clinic Inc.
• Diamonaire Screening Solutions LLC
• Diamond Collective
• Diamond Dental
• Diamond Sports Rehabilitation and Physical Therapy
• Dionna P Diamond
• Lance Wolfe Diamond, PTA
• Paolo Bautista Diangson
• Alec Dias
• Danielle Jean Dias

• Adult Care Home Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.