Organization Active NPI

Diversity Holdings LLC

  • Health Service Clinic/Center
  • San Antonio, TX
National Provider Identifier
1184386161
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DIVERSITY HOLDINGS LLC
Practice address
4400 S Piedras Dr Ste 219
San Antonio, TX 78228-1223
Phone
(210) 241-5692
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Charles Caskey
Title
Owner
Phone
(210) 241-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4400 S Piedras Dr Ste 219
San Antonio, TX 78228-1223

Mailing address

4400 S Piedras Dr Ste 219
San Antonio, TX 78228-1223
Phone (210) 251-4973

Other practice location 1

9179 Grissom Rd Ste 101
San Antonio, TX 78251-2810
Phone (210) 251-4973

National Provider Directory

National Provider Directory

Locations

4400 S Piedras Dr
Ste 219
San Antonio, TX 78228
Phone (210) 241-5692

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1184386161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S PIEDRAS DR STE 219",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281223",
            "telephone_number": "210-251-4973",
            "fax_number": "210-251-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S PIEDRAS DR STE 219",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281223",
            "telephone_number": "210-241-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9179 Grissom Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782512810",
            "country_code": "US",
            "telephone_number": "210-251-4973",
            "fax_number": "210-251-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSITY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-241-1966"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.