Active NPI
Diamond Age Center, LLC
Doing business as Diamond Age Center
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIAMOND AGE CENTER, LLC
- Doing business as
- Diamond Age Center
- Practice address
- 4889 Sinclair Rd Ste 101
Columbus, OH 43229-5433 - Phone
- (614) 859-2507
- NPI assigned
- Jan 7, 2021
- Last updated
- May 10, 2022
- 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
- Farhiyo Egal
- Title
- Ceo
- Phone
- (614) 407-5030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4889 Sinclair Rd Ste 101
Columbus, OH 43229-5433
Mailing address
2403 Ashpoint St
Columbus, OH 43219-6202
Phone (614) 218-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0478398 | Medicaid | OH |
Other names 1
- Diamond Age Center
National Provider Directory
National Provider DirectoryLocations
4889 Sinclair Rd
Ste 101
Columbus, OH 43229
Phone (614) 859-2507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Columbus, OH
- NPI 1669061842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1922696616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 ASHPOINT ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196202",
"telephone_number": "614-218-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4889 SINCLAIR RD STE 101",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295433",
"telephone_number": "614-859-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND AGE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-07",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "EGAL",
"authorized_official_first_name": "FARHIYO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-407-5030"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0478398",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond Age Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diamond Age Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.