Provider Demographics
NPI:1538549167
Name:DILIGENT HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:DILIGENT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEVILLE
Authorized Official - Middle Name:NKAFU
Authorized Official - Last Name:NJIKEM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MHA
Authorized Official - Phone:904-425-1414
Mailing Address - Street 1:5757 BOOTH RD BLDG 100
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-5981
Mailing Address - Country:US
Mailing Address - Phone:904-425-1414
Mailing Address - Fax:904-425-2055
Practice Address - Street 1:5757 BOOTH RD BLDG 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-5981
Practice Address - Country:US
Practice Address - Phone:904-425-1414
Practice Address - Fax:904-425-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018267100Medicaid