Active NPI
Diversity Holdings LLC
- Health Service Clinic/Center
- San Antonio, TX
National Provider Identifier
1184386161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.