DIAMOND MANOR ADULT CARE (NPI# 1275811598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275811598 |
| Entity Type | Organization |
| Organization Name | DIAMOND MANOR ADULT CARE |
| Other Organization Name | DIAMOND MANOR ADULT CARE LLC |
| Practice Address |
7330 W. Getty Drive Phoenix AZ 85043 |
| Mailing Address |
4356 W St Catherine Ave Laveen AZ 85339-6233 |
| Practice Telephone | 4807037396 |
| Practice Fax Number | 6022371624 |
| Mailing Telephone | 4807037396 |
| Mailing Fax Number | 6022371624 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | MRS. MARIA VIRGINIA N CORDOVA (MANAGER/OWNER) |
| Authorized Official Telephone | 4807037396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL7047H | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DIAMOND MANOR ADULT CARE LLC | Doing Business As Name - Organization |
| Street Address |
7330 W. GETTY DRIVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1962936112 | Christine B Santa Cruz | Specialist/Technologist | 8101 W. Hammond Ln., Phoenix, AZ 85043 | 2017-04-14 |
| 1558704809 | Valley Independent Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6408 W Gross Ave, Phoenix, AZ 85043 | 2013-04-16 |
| 1821312877 | Bertha Romero | Case Manager/Care Coordinator | 7315 W Jones Ave, Phx, AZ 85043 | 2010-03-19 |
| 1477705788 | Patrick Lynn Perryman | Psychologist | 7250 W Buckeye Rd, Phoenix, AZ 85043 | 2008-10-17 |
| 1891910246 | Sammie Trotter | Technician | 5025 S. 24th Ave, Phoenix, AZ 85043 | 2007-04-13 |
| 1780719617 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6650 W. Lower Buckeye Rd, Phoenix, AZ 85043 | 2007-02-22 |
| 1992713689 | Occupational Health Center of The Southwest Pa | Clinic/Center | 5340 West Buckeye Road, Suite 3, Phoenix, AZ 85043 | 2006-08-04 |
| 1972523710 | William A Crane Jr. | Family Medicine | 7953 W Chickasaw St, Phoenix, AZ 85043 | 2006-07-21 |
| 1578505780 | Revondolyn L Scott | Nutritionist | 8135 W Lynwood St, Phoenix, AZ 85043 | 2006-06-12 |
| Find all providers in zip 85043 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1124679931 | Lovin Touch LLC | Custodial Care Facility | 4130 W Northern Ave, Phoenix, AZ 85051-5765 | 2019-09-23 |
| 1164070819 | Love Shines Behavioral Health Homes LLC | Custodial Care Facility | 16401 N 39th Pl, Phoenix, AZ 85032-3246 | 2019-08-27 |
| 1386147262 | Desert View Assisted Living | Custodial Care Facility | 9401 N 36 Ave, Phoenix, AZ 85051-3305 | 2018-03-16 |
| 1699289215 | Desert Springs Care Home L.L.C. | Custodial Care Facility | 3445 W Acoma Dr, Phoenix, AZ 85053-5620 | 2017-11-17 |
| 1750817763 | Flerida Cabatic | Custodial Care Facility | 27413 N 23rd Dr, Phoenix, AZ 85085-4708 | 2017-05-11 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1447645833 | Az Advanced Care LLC | Custodial Care Facility | 3137 W Lane Ave, Phoenix, AZ 85051-6522 | 2015-04-02 |
| 1447643069 | Caring Haven Homes LLC | Custodial Care Facility | 420 W Sequoia Dr, Phoenix, AZ 85027-4727 | 2015-03-05 |
| Find all providers in PHOENIX | ||||
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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.