Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIAMOND SUPPORTED LIVING SERVICES, INC.
Active
Organization
DIAMOND SUPPORTED LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAZENA E. KENNEDY (CHIEF EXECUTIVE OFFICER)
(904) 307-6844
Entity
Organization
Contact information
Practice address
330 IVY ST, JACKSONVILLE, FL 32206-6350
(904) 307-6844
(904) 924-1174
Mailing address
PO BOX 2678, JACKSONVILLE, FL 32203-2678
(904) 307-6844
(904) 924-1174
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
687831896 68783189
FL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers