Diakonia, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

DIAKONIA, INC.

Doing business as

Home of Excellence

Practice address

2133 N Cedar Ave
Rialto, CA 92377-4407

Phone

(909) 873-1817

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DIAKONIA INCAs reported in NPPES

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

Authorized official

Name

Tiffany Merritt

Title

Administrator

Phone

(909) 278-4312

Specialties & licenses 2

Addresses

Other names 1

• Home of Excellence Doing business as

Tax ID family

Diakonia Inc4 organizations share this tax ID, including this one

Part of

Diakonia Inc

Other organizations with this tax ID 3

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

• Diakonia, Inc.

  dba Maywright Boys Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1104522119
  NPD tax ID
• Diakonia, Inc.

  dba Achieve Residential Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1518462530
  NPD tax ID
• Diakonia, Inc.

  dba Achieve Residential Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rialto, CA
  • NPI 1679289318
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahrya Victoria Celine Guzman, BACHELORS, MASTERS

  • Case Manager/Care Coordinator
  • Rialto, CA
  • NPI 1871323634
  NPD
• Oumie Ceesay

  • Rehabilitation Practitioner
  • Rialto, CA
  • NPI 1467319731
  NPD (past)
• Tabitha Lopez, LPCC

  • Professional Counselor
  • Mentone, CA
  • NPI 1427524875
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1326753708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 N CEDAR AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774407",
            "telephone_number": "909-873-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 N CEDAR AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774407",
            "telephone_number": "909-873-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKONIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAKONIA INC",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-278-4312"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home of Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lekha Devasirbatham
• Anthony W. Deza, D.D.S.
• Eunice Ezinne Diabuah
• Diakonia Incorporation
• Diakonia, Inc. (Maywright Boys Home)
• Diakonia, Inc. (Achieve Residential Center)
• Diakonia, Inc. (Achieve Residential Center)
• Mia Diaz
• Silvia Diaz I
• Nathaniel Custodio Diwa

• Emotionally Disturbed Childrens' Residential Treatment Facility in Rialto, CA
• Providers in Rialto, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.