DIAMOND MOON HOME CARE LLC (NPI# 1538704069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538704069 |
| Entity Type | Organization |
| Organization Name | DIAMOND MOON HOME CARE LLC |
| Practice Address |
167 Baldwin Ave Ste 2 Waterbury CT 06706-1800 |
| Practice Telephone | 2035193803 |
| Mailing Telephone | 2035193803 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MS. NIFICA BEGELEUS (OWNER) |
| Authorized Official Telephone | 2035193803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Diamond Moon Home Care LLC. | 167 Baldwin Ave., Suite 2, Waterbury, CT 06706 |
| Street Address |
167 BALDWIN AVE STE 2 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943136 | Glam for Gram LLC | In Home Supportive Care | 225 Meriden Rd, Waterbury, CT 06705-1941 | 2019-10-09 |
| 1033516307 | New Horizon Enterprises, LLC | In Home Supportive Care | 140 Homer St, Waterbury, CT 06704-1726 | 2014-12-02 |
| 1235762253 | Royal Elite Homecare LLC | In Home Supportive Care | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709755 | Easy Peasy Home Care LLC | In Home Supportive Care | 27 Coach Cir Unit 4, Naugatuck, CT 06770-1850 | 2020-10-30 |
| 1558960518 | Resolute Home Care Services LLC | In Home Supportive Care | 2 Armonk St Ste 1085, Greenwich, CT 06830-5803 | 2020-10-21 |
| 1013514744 | The Homeaides | In Home Supportive Care | 517 Centerpoint Dr, Middletown, CT 06457-7570 | 2020-10-06 |
| 1184231342 | Caring for Parent LLC | In Home Supportive Care | 179 S Stone St, West Suffield, CT 06093-3217 | 2020-09-30 |
| 1124633011 | The Harp Group, LLC | In Home Supportive Care | 150 Boston Post Rd, Madison, CT 06443-2136 | 2020-09-09 |
| 1356954903 | Gentle Touch Homecare Services LLC | In Home Supportive Care | 340 Broad St Ste 103, Windsor, CT 06095-3030 | 2020-08-24 |
| 1326659731 | Beloved Home Care LLC | In Home Supportive Care | 27 High St Unit B, Vernon, CT 06066-3638 | 2020-08-11 |
| 1730799271 | The Urban Light LLC | In Home Supportive Care | 46 Strong St, Manchester, CT 06042-3110 | 2020-08-07 |
| 1225656283 | Central Health Homecare, LLC | In Home Supportive Care | 127 Tunxis Hill Rd Ste 2, Fairfield, CT 06825-4838 | 2020-07-07 |
| 1154948651 | Easycare Home Care Agency LLC | In Home Supportive Care | 177 W Putnam Ave Ste 2678, Greenwich, CT 06830-5203 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.