Active NPI
Diligent Service Providers LLC
- Home Health Agency
- New Britain, CT
National Provider Identifier
1861956211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DILIGENT SERVICE PROVIDERS LLC
- Practice address
- 110 Austin St
New Britain, CT 06051 - Phone
- (860) 712-0831
- Fax
- (888) 977-3102
- NPI assigned
- Jan 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dwayne Horatio Jenkins I, CNA
- Title
- Ceo
- Phone
- (860) 712-0831
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
110 Austin St
New Britain, CT 06051
Mailing address
110 Austin St
New Britain, CT 06051-2818
Phone (860) 712-0831
Other practice location 1
145 Pinehurst Ave Fl 1
New Britain, CT 06053-3525
Phone (860) 712-0831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700328010 | Medicaid | CT |
Other names 1
- Diligent Staffing Professionals
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 8889773102 | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572393600000",
"number": "1861956211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 AUSTIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512818",
"telephone_number": "860-712-0831",
"fax_number": "888-977-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 AUSTIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "06051",
"telephone_number": "860-712-0831",
"fax_number": "888-977-3102"
}
],
"practiceLocations": [
{
"address_1": "145 Pinehurst Ave Fl 1",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060533525",
"country_code": "US",
"telephone_number": "860-712-0831",
"fax_number": "888-977-3102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DILIGENT SERVICE PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-29",
"last_updated": "2019-10-30",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "HORATIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-712-0831",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700328010",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "8889773102",
"affiliation": "N",
"endpointDescription": "FAX",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FAX",
"address_1": "110 Austin St",
"city": "New Britain",
"state": "CT",
"country_code": "US",
"postal_code": "060512818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Diligent Staffing Professionals",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Diligent Staffing Professionals",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.