BLU DIAMOND HOME CARE LLC (NPI# 1194248872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194248872 |
| Entity Type | Organization |
| Organization Name | BLU DIAMOND HOME CARE LLC |
| Practice Address |
3481 Office Park Drive Suite 12d Dayton OH 45439 |
| Mailing Address |
3481 Office Park Dr Ste 12d Dayton OH 45439-2299 |
| Practice Telephone | (937) 220-2978 |
| Mailing Telephone | 9372202978 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | FREDERICK PERDUE (OWNER) |
| Authorized Official Telephone | 9372702978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3481 OFFICE PARK DRIVE SUITE 12D |
| City | DAYTON |
| State | OH |
| Zip Code | 45439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| 1114384310 | Joseph Premanandan | Internal Medicine | 3033 Kettering Boulevard, Suite 100, Moraine, OH 45439 | 2016-01-20 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1932708567 | Gladys Roach | Home Health | 2333 Valley Pike, Dayton, OH 45404-2545 | 2020-10-24 |
| 1083212112 | Marsha A Waters-walker | Home Health | 4524 Broadbush Dr, Dayton, OH 45426-1908 | 2020-10-12 |
| 1417563248 | Care From The Heart LLC | Home Health | 3335 Stanley Ave Ste B, Dayton, OH 45404-2005 | 2020-09-17 |
| 1992310429 | Latoya Jones | Home Health | 4531 Sylvan Dr, Dayton, OH 45417-1260 | 2020-09-11 |
| 1871108449 | Dependable Care Traveling Np LLC | Home Health | 33 Dayton Ave, Dayton, OH 45402-6402 | 2020-09-10 |
| 1598379448 | Kelvin Afful | Home Health | 1715 Springfield St, Dayton, OH 45403-1431 | 2020-09-08 |
| 1063026722 | Stevenson Pinnacle Health Services LLC | Home Health | 61 Drake Ave Apt A, Dayton, OH 45405-4120 | 2020-09-01 |
| 1750993812 | Pauleah A Davis | Home Health | 5011 W Hillcrest Ave, Dayton, OH 45406-1222 | 2020-08-20 |
| 1447860986 | Light Reign | Home Health | 5027 Brock Ln, Dayton, OH 45415-3429 | 2020-08-07 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.