NPIMap

Organization Active NPI

Diyah's Home, Inc

Doing business as diyah's home #2

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spring Lake, NC
National Provider Identifier
1265533053
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-043-056 Issued in NC
Legal business name
DIYAH'S HOME, INC
Doing business as
diyah's home #2
Practice address
10691 NC Highway 210 S
Spring Lake, NC 28390-8049
Phone
(910) 497-8599
Fax
(910) 436-5928
NPI assigned
Sep 26, 2006
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
David Haqq
Title
Director/Owner
Phone
(910) 978-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-043-056 NC Primary

Addresses

Primary practice location

10691 NC Highway 210 S
Spring Lake, NC 28390-8049

Mailing address

PO Box 2744
Fayetteville, NC 28302-2744
Phone (910) 497-8599

Other identifiers 1

IdentifierTypeStateIssuer
6603854MedicaidNC

Other names 1

  • diyah's home #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diyah's Home Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1265533053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2744",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283022744",
            "telephone_number": "910-497-8599",
            "fax_number": "910-436-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 NC HIGHWAY 210 S",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283908049",
            "telephone_number": "910-497-8599",
            "fax_number": "910-436-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYAH'S HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "HAQQ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-978-8599"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-043-056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603854",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "diyah's home #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.