Provider Demographics
NPI:1669245395
Name:DIAMOND ELITE CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:DIAMOND ELITE CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:734-752-7276
Mailing Address - Street 1:24100 SOUTHFIELD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2850
Mailing Address - Country:US
Mailing Address - Phone:313-671-2521
Mailing Address - Fax:
Practice Address - Street 1:24100 SOUTHFIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2850
Practice Address - Country:US
Practice Address - Phone:313-671-2521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health