Diverse Achievers LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DIVERSE ACHIEVERS LLC

Practice address

29218 Fox Fountain LN
Spring, TX 77386-3096

Phone

(281) 771-4910

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chibuzo Polycarp Iweajunwa I

Title

MD

Phone

(832) 296-3123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1225603871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20330 WHITEWOOD DR APT 5208",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29218 FOX FOUNTAIN LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863096",
            "telephone_number": "281-771-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE ACHIEVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "IWEAJUNWA",
        "authorized_official_first_name": "CHIBUZO",
        "authorized_official_middle_name": "POLYCARP",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "832-296-3123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Spring, TX
• Providers in Spring, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.