Organization Active NPI

Diligent Service Providers LLC

  • Home Health Agency
  • New Britain, CT
National Provider Identifier
1861956211
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 30, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1700328010MedicaidCT

Other names 1

  • Diligent Staffing Professionals Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8889773102 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.