Organization Active NPI

Diamond Age Center, LLC

Doing business as Diamond Age Center

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1922696616
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Farhiyo EgalNPI 1669061842
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0478398MedicaidOH

Other names 1

  • Diamond Age Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.