Home Healthcare

LBN: Diamond One Healthcare
Home Healthcare is an health care organization with primary practice located at 3514 Clearbrook St , Memphis TN 38118-5547. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Diamond One Healthcare can be contacted via phone (901) 362-6015, or through Reynolds, Charles Edward via phone (901) 362-6015.

Contact Information

Primary practice address
3514 Clearbrook St Memphis TN 38118-5547
Phone: (901) 362-6015
Fax: (901) 405-5106
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Charles Edward ULITMATE MEDICAL ACA
Phone: (901) 362-6015

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 113004427 Tennessee

Profile Details

NPI number 1801224910
LBN Legal business name Diamond One Healthcare
DBA Doing business as Home Healthcare
Authorized official Reynolds, Charles Edward ULITMATE MEDICAL ACA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2013
Last updated Oct 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801224910 NPPES
Tennessee MEDICAID 113004427

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