Diamond Edgewater LLC

Assisted Living Facility · Edgewater, FL

Organization Active NPI

NPI number 1063265189

Practice location

2010 S Ridgewood Ave
Edgewater, FL 32141-4253
Phone
(386) 576-7034

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NPI record

NPI
1063265189
Entity type
Organization (Type 2)
Enumeration date
April 9, 2024
Last updated
April 9, 2024
Certified
April 9, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Mailing address

1127 Harris Ave
Far Rockaway, NY 11691-4816

Authorized official

Name
Daniel Stern
Title
Owner
Phone
(516) 526-9071

About Diamond Edgewater LLC

Diamond Edgewater LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 2010 S Ridgewood Ave, Edgewater, FL 32141-4253. The NPI number 1063265189 was assigned on April 9, 2024 and the record was last updated on April 9, 2024.

The authorized official for this organization is Daniel Stern, Owner.

Frequently asked questions

What is the NPI number of Diamond Edgewater LLC?

The NPI number is 1063265189.

What is the phone number of Diamond Edgewater LLC?

The phone number listed for the practice location is (386) 576-7034.

Where is Diamond Edgewater LLC located?

2010 S Ridgewood Ave, Edgewater, FL 32141-4253.

What is the taxonomy code for Diamond Edgewater LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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